Secondary Transfer Preference Child Details Name of child Date of birth (DD/MM/YYYY) Gender Address Parent/carer details Name Telephone Email Current school of child I certify that I am: the person with parental responsibility and this pupil lives permanently in Lewisham Yes Preferred choice of secondary school 1st preference School name Reason for preference 2nd preference School name Reason for preference Additional information Declaration I confirm that I wish for the above schools to be considered for naming on my child’s Education, Health & Care Plan. I confirm I understand that Lewisham LA will consult with the schools of my choice and share information as required under the provisions of the Children & Families Act 2014 and the DfES guidance on Special Educational Needs before naming a school on my child’s EHC Plan I confirm