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Admissions Registration Form

Child's Information

Surname

First Name

Middle Name(s)

Male/Female

Date of Birth

Nationality

Religion

Proposed Term of Entry

Proposed Year of Entry

Have you registered your child's name at any other school(s) and if so, which?

Father's Information

Title

Surname

First Name

Middle Name(s)

Address 1

Address 2

City

Country

Postcode

Daytime Telephone

Evening Telephone

Mobile Telephone

Email address

Occupation

Mother's Information (if different from above)

Title

Surname

First Name

Middle Name(s)

Address 1

Address 2

City

Country

Postcode

Daytime Telephone

Evening Telephone

Mobile Telephone

Email address

Occupation

Please mention here the names of any other members of the family attending the School or registered for entry; or any other connection with the School.

Name 1

Name 2

Name 3

Name 4

Please say how you first heard of the School.

Please select

Other

If you child is of school age please complete the following.

School Name

Address 1

Address 2

City

Country

Postcode

Date Started

Date Finished

Please outline any of your child’s artistic, dramatic, musical or sporting skills or experience (if applicable )

Child's Skills

Please give an outline of your child’s other hobbies or interests (if applicable)

Child's Hobbies or Interests

Please provide us with details of any medical condition (including allergies), disabilities or learning difficulty of your child.

Child's Medical Information

Declaration We request that the name of our above-named child be registered as a prospective pupil . A payment for the non-returnable registration fee of £60.00 has been submitted . We understand that the terms and conditions of the School will undergo reasonable changes from time to time as circumstances require and will apply in all our dealings with the School. We understand also that the School (through the Head, as the person responsible) may obtain, process and hold personal information about our child, including sensitive information such as medical details, and we consent to this for the purposes of assessment and, if a place is later offered, in order to safeguard and promote the welfare of the child.

I agree with the above declaration

First Parent

Name in full

Relationship to the Child

Second Parent

Name in full

Relationship to the Child

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Admissions Registration Form