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School In Year Admissions

Form 1

Your child’s details

Date of birth
For example, 31 03 1980
Is this child currently in public care?
What does this mean?

A child in public care (otherwise known as a looked after child) is in the care of a local authority, such as Medway Council. For example if they are being fostered or are in residential care.

Has this child previously been in public care?
What does this mean?

A child who has previously been in public care was being looked after, but has now been adopted or become subject to a residence order or special guardianship order.

Upload
Browse and upload file

File name:
Delete file

Upload another file

File name:
Delete file

Upload another file

File name:
Delete file

<h1 class="heading-large">Your child’s details</h1>

<form action="form_2" method="post">
<div class="content-block">

    <div class="form-group">
        <label for="first-name">
            <span class="form-label-bold">First name</span>
        </label>
        <input class="form-control" id="first-name" type="text" name="child-first-name">
    </div>

    <div class="form-group">
        <label for="last-name">
            <span class="form-label-bold">Last name</span>
        </label>
        <input class="form-control" id="last-name" type="text" name="child-last-name">
    </div>

    <div class="form-group">
        <fieldset>
            <legend>
                <span class="form-label-bold">
                    Date of birth
                </span>
            </legend>

            <div class="form-date form-group form-date-group" data-grouped-inputs>

                <span class="field-validation-error" data-valmsg-for="Child.DateOfBirth.Day" data-valmsg-replace="true"></span>
                <span class="field-validation-error" data-valmsg-for="Child.DateOfBirth.Month" data-valmsg-replace="true"></span>
                <span class="field-validation-error" data-valmsg-for="Child.DateOfBirth.Year" data-valmsg-replace="true"></span>

                <span class="form-hint">For example, 31 03 1980</span>
                <div class="form-group-day" data-grouped-input>
                    <label for="Child.DateOfBirth.Day">Day</label>
                    <input maxlength="2" class="form-control" data-val="true" data-val-number="The field Day must be a number." data-val-range="Day must be between 1 and 31." data-val-range-max="31" data-val-range-min="1" data-val-required="Day field is required" id="Child_DateOfBirth_Day" name="Child.DateOfBirth.Day" type="text" pattern="[0-9]*" inputmode="numeric">
                </div>

                <div class="form-group-month" data-grouped-input>
                    <label for="Child.DateOfBirth.Month">Month</label>
                    <input maxlength="2" class="form-control" data-val="true" data-val-number="The field Month must be a number." data-val-range="Month must be between 1 and 12." data-val-range-max="12" data-val-range-min="1" data-val-required="Month field is required" id="Child_DateOfBirth_Month" name="Child.DateOfBirth.Month" type="text" pattern="[0-9]*" inputmode="numeric">
                </div>

                <div class="form-group-year" data-grouped-input>
                    <label for="Child.DateOfBirth.Year">Year</label>
                    <input maxlength="4" class="form-control" data-val="true" data-val-number="The field Year must be a number." data-val-range="Day must be between 1980 and 2014." data-val-range-max="2014" data-val-range-min="1980" data-val-required="Year field is required" id="Child_DateOfBirth_Year" name="Child.DateOfBirth.Year" type="text" pattern="[0-9]*" inputmode="numeric">
                </div>

            </div>
        </fieldset>

    </div>

    <div class="form-group">
        <label class="form-label-bold">Gender</label>
        <fieldset class="inline">
            <label class="block-label" for="gender-male">
                <input id="gender-male" type="radio" name="child-gender" value="Male"> Male
            </label>

            <label class="block-label" for="gender-female">
                <input id="gender-female" type="radio" name="child-gender" value="Female"> Female
            </label>
        </fieldset>
    </div>

    <fieldset class="inline">
        <legend>
            <span class="form-label-bold">
                Is this child currently in public care?
            </span>
        </legend>
        <details>
            <summary><span class="summary">What does this mean?</span></summary>
            <div class="panel-indent">
                <p>
                    A child in public care (otherwise known as a looked after child) is in the care of a local authority, such as Medway Council. For example if they are being fostered or are in residential care.
                </p>
            </div>
        </details>

        <div class="form-group form-group-compound">
            <label class="block-label" data-target="public-care-yes-fields" for="public-care-yes">
                <input id="public-care-yes" type="radio" name="public-care" value="Yes">
                Yes
            </label>

            <label class="block-label" for="public-care-no">
                <input id="public-care-no" type="radio" name="public-care" value="No">
                No
            </label>
        </div>

        <div class="panel-indent js-hidden" id="public-care-yes-fields">

            <div class="form-group">
                <label for="name-of-council">
                    <span class="form-label-bold">Name of council</span>
                </label>
                <input class="form-control" type="text" id="name-of-council" name="name-of-council">
            </div>

            <div class="form-group">
                <label for="name-of-social-worker">
                    <span class="form-label-bold">Name of social worker</span>
                </label>
                <input class="form-control" type="text" id="name-of-social-worker" name="name-of-social-worker">
            </div>

            <div class="form-group">
                <label for="social-worker-phone">
                    <span class="form-label-bold">Social worker’s phone number<!--  <span class="unbold">(optional)</span> --></span>
                </label>
                <input class="form-control" type="text" id="social-worker-phone" name="social-worker-phone">
            </div>
        </div>

        <legend>
            <span class="form-label-bold">
                Has this child previously been in public care?
            </span>
        </legend>
        <details>
            <summary><span class="summary">What does this mean?</span></summary>
            <div class="panel-indent">
                <p>
                    A child who has previously been in public care was being looked after, but has now been adopted or become subject to a residence order or special guardianship order.
                </p>
            </div>
        </details>

        <div class="form-group form-group-compound">
            <label class="block-label" data-target="prev-public-care-yes-fields" for="prev-public-care-yes">
                <input id="prev-public-care-yes" type="radio" name="prev-public-care" value="Yes">
                Yes
            </label>

            <label class="block-label" for="prev-public-care-no">
                <input id="prev-public-care-no" type="radio" name="prev-public-care" value="No">
                No
            </label>
        </div>

        <div class="panel-indent js-hidden" id="prev-public-care-yes-fields">
            <legend>
                <span class="form-label-bold">
                    Upload
                </span>
            </legend>
            <div class="form-group">
                <label for="upload-copy-of-prev-public-care">
                    <span class="form-label">We need proof such as a copy of an adoption order, residence order or Special Guardianship order. Uploading it now will help speed up your application or you can send it to us separately by:<br><br>
                    Email to <a href="mailto:admissions@medway.gov.uk">admissions@medway.gov.uk</a><br><br>Post to Student Services, Medway Council, Gun Wharf, Dock Road, Chatham ME4 4TR</span>
                </label>
            </div>
            <div class="file-upload">
                <div class="form-upload-button" data-file-upload="button">
                    <span class="button">Browse and upload file</span>
                    <input type="file" name="step1PublicCare" id="PublicCare1">
                    <p class="js-hidden file-chosen">
                        <span>File name: </span><span class="file-name"></span><br>
                        <a href="#" class="delete-chosen-file">Delete file</a>
                    </p>
                </div>
                <div class="form-upload-button" data-file-upload="button">
                    <span class="button">Upload another file</span>
                    <input type="file" name="step1PublicCare" id="PublicCare2">
                    <p class="js-hidden file-chosen">
                        <span>File name: </span><span class="file-name"></span><br>
                        <a href="#" class="delete-chosen-file">Delete file</a>
                    </p>
                </div>
                <div class="form-upload-button" data-file-upload="button">
                    <span class="button">Upload another file</span>
                    <input type="file" name="step1PublicCare" id="PublicCare3">
                    <p class="js-hidden file-chosen">
                        <span>File name: </span><span class="file-name"></span><br>
                        <a href="#" class="delete-chosen-file">Delete file</a>
                    </p>
                </div>
            </div>
        </div>
    </fieldset>

    <div class="form-step-buttons">
        <button type="submit" class="button">Continue</button>
    </div>

</div>
</form>