[et_pb_section fb_built=”1″ fullwidth=”on” _builder_version=”4.16″ z_index=”-500″ global_colors_info=”{}”][et_pb_fullwidth_header title=”One Family.” subhead=”Little People. Big Dreams” _builder_version=”4.16″ title_font_size=”38px” title_line_height=”1.2em” subhead_font=”PT Serif|700|on||||||” subhead_font_size=”51px” subhead_line_height=”1.1em” background_color=”rgba(0,0,0,0.2)” background_image=”https://kaderacademy.co.uk/wp-content/uploads/2020/10/kader-1-1-scaled.jpg” background_blend=”multiply” custom_padding=”150px||200px||false|false” global_colors_info=”{}”][/et_pb_fullwidth_header][/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|tablet” _builder_version=”4.16″ background_image=”https://kaderacademy.co.uk/wp-content/uploads/2020/06/background.jpg” parallax=”on” custom_padding_tablet=”||0px||false|false” custom_padding_phone=”” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ background_color=”#ffffff” width_tablet=”” width_phone=”90%” width_last_edited=”on|phone” min_height=”213px” custom_margin=”-104px||0px||false|false” custom_padding=”60px|40px|96px|40px|false|false” border_width_bottom=”8px” border_color_bottom=”#3e1e5e” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ global_colors_info=”{}”]
Medical Conditions
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Triggers, Symptoms and Required Treatment: %%allergy_details%%||et_pb_line_break_holder||||et_pb_line_break_holder||Does Your Child Have any Medical Conditions?: %%Medical_Conditions%%||et_pb_line_break_holder||||et_pb_line_break_holder||Please Give Details Along with Required Treatment/Medication: %%medical_details%%||et_pb_line_break_holder||||et_pb_line_break_holder||Does Your Child Use Any Medication at Home? (eg. inhaler etc.): %%Home_Conditions%%||et_pb_line_break_holder||||et_pb_line_break_holder||Please Give Details (if applicable): %%home_details%%||et_pb_line_break_holder||||et_pb_line_break_holder||Does Your Child Have Asthma?: %%Asthma%%||et_pb_line_break_holder||||et_pb_line_break_holder||If Yes, Does Your Child Carry an Inhaler?: %%if_yes_Asthma%%||et_pb_line_break_holder||||et_pb_line_break_holder||Any Other Relevant Information: %%Any_other_info%%||et_pb_line_break_holder||||et_pb_line_break_holder||Parents Name: %%Parents_Name%%||et_pb_line_break_holder||||et_pb_line_break_holder||Parents Contact Number: %%Parents_Contact_Number%%||et_pb_line_break_holder||||et_pb_line_break_holder||Parents Email Address: %%Parents_Email_Address%%||et_pb_line_break_holder||||et_pb_line_break_holder||” use_redirect=”on” redirect_url=”https://kaderacademy.co.uk/new-starter-pack-form-3/” success_message=”You will now move onto: Pupil Premium” _builder_version=”4.16″ _unique_id=”9907644d-c0c7-4dc0-a353-b56ebd890c52″ custom_button=”on” button_text_color=”#dbb726″ global_colors_info=”{}” button_bg_color__hover_enabled=”on|hover” button_bg_color__hover=”#efefef” button_bg_enable_color__hover=”on” button_border_color__hover_enabled=”on|hover” button_border_color__hover=”rgba(0,0,0,0)”][et_pb_contact_field field_id=”Childs_Forename” field_title=”Childs Forename” _builder_version=”4.16″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][/et_pb_contact_field][et_pb_contact_field field_id=”Childs_Middle_Name” field_title=”Childs Middle Name (if applicable)” required_mark=”off” _builder_version=”4.16″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][/et_pb_contact_field][et_pb_contact_field field_id=”Childs_Surname” field_title=”Childs Surname” _builder_version=”4.16″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” 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button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][/et_pb_contact_field][et_pb_contact_field field_id=”Allergy” field_title=”Is Your Child Allergic to Anything?” field_type=”select” select_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Allergy_Dr” field_title=”If Yes, Has This Allergy Been Confirmed by a Doctor?” field_type=”select” select_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ required_mark=”off” _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”allergy_details” field_title=”Please Give Details of This Allergy. eg. Triggers, Symptoms and Required Treatment” field_type=”text” required_mark=”off” fullwidth_field=”on” _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Medical_Conditions” field_title=”Does Your Child Have any Medical Conditions?” field_type=”select” select_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ fullwidth_field=”on” _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”medical_details” field_title=”Please Give Details Along with Required Treatment/Medication” field_type=”text” required_mark=”off” fullwidth_field=”on” _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Home_Conditions” field_title=”Does Your Child Use Any Medication at Home? (eg. inhaler etc.)” field_type=”select” select_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”home_details” field_title=”Please Give Details (if applicable)” required_mark=”off” _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Asthma” field_title=”Does Your Child Have Asthma?” field_type=”select” select_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”if_yes_Asthma” field_title=”If Yes, Does Your Child Carry an Inhaler?” field_type=”select” select_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ required_mark=”off” _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Any_other_info” field_title=”Any Other Relevant Information” field_type=”text” required_mark=”off” fullwidth_field=”on” _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Parents_Name” field_title=”Parents/Carer Name” _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Parents_Contact_Number” field_title=”Parent/Carer Contact Number” _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Parents_Email_Address” field_title=”Parent/Carer Email Address” field_type=”email” fullwidth_field=”on” _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_contact_field][/et_pb_contact_form][/et_pb_column][/et_pb_row][/et_pb_section]