Ethnic Please tick –    1. White 2. Mixed/Dual Background 3. As or As British 4. Black or  Black British 6.   5. Chinese Any other ethnic group 7. Refused 8. Information not yet  obtained Please attach a copy of the modified timetable sent to parent/carer and also ensure that the parent/carer has signed this form to show their agreement with the arrangements being made. Parent/Carer signature …………………………………………………… Date……………………………. School signature Date / / Title Date received at AST / / PT2 Modified Timetable School Contract Name of Pupil……………………………………………………………………… Address……………………………………………………………………………… Date of School………………………………………………………………………………….
Ethnic – Please tick 1. White  2. Mixed/Dual Background  3. As or As British  4. Black or Black British  5. Chinese 6. Any other ethnic group  7. Refused  8. Information not yet obtained  Please attach a copy of the modified timetable sent to parent/carer and also ensure that the parent/carer has signed this form to show their agreement with the arrangements being made. Parent/Carer signature …………………………………………………… Date……………………………. School signature Date / / Title Date received at AST / / PT2 Modified Timetable School Contract Name of Pupil……………………………………………………………………… Address……………………………………………………………………………… Date of School………………………………………………………………………………….