Pupil Registration Form

Pupil's Surname (required)

Pupil's Forename (required)

Pupil`s Last Name (required)
MaleFemale

Date of Birth (required)

Address Line 01 (required)

Address Line 02 (required)

Address Line 03

Address Line 04

Post Code (required)

Please attach current passport sized photograph (required)

What is your preferred enrolment date? (required)
September 2017January 2018September 2018January 2019

Father`s Surname(required)

Title (required)

Father`s first name (required)

Father`s Mobile Telephone (required)

Father`s Home Telephone (required)

Father`s Occupation (required)

Father`s Email Address (required)

Address ( if different from Pupil )

Mother`s Surname (required)

Title (required)

Mother`s first name (required)

Mother`s Mobile Telephone (required)

Mother`s Home Telephone (required)

Mother`s Occupation (required)

Mother`s Email Address (required)

Address ( if different from Pupil )

Name of School (required)

Name of Head Teacher (required)

Telephone number of School (required)

Date Started at Present School (required)

Present Class (required)

Address of School (required)

Please tell us about any of your child`s artistic, dramatic, musical or sporting skills (required)

Please tell us about any of your child`s hobbies or particular interests (required)

Please provide us with details of any medical conditions your child may have. this should include any allergies, disabilities or learning difficulties (required)

PUPIL APPLICATION FORM

PLEASE COMPLETE ALL DETAILS IN BLOCK CAPITALS AND IN ENGLISH.

PUPILS DETAILS

PARENT DETAILS

PARENT DETAILS

EDUCATION DETAILS - PRESENT SCHOOL

*Please note we will request a report from your child`s present school

ADDITIONAL INFORMATION

*Please note that on signing this form you give your consent to any administration of medication as maybe considered necessary by medically qualified persons and any first aid deemed necessary in line with the school's policy whilst your child is attending school.