Registration Form

Child Details

Surname of child*

First name(s) in full as on birth certificate*

Boy/Girl*: Boy Girl

Date of birth*

Mother's Details

Mother's surname*

Title*

First name(s) in full*

Profession/occupation*

Father's Details

Father's surname*

Title*

First name(s) in full*

Profession/occupation*

Other Details

Child’s relationship to any present/former pupil*

Nationality of child*

Year and term for which admission is desired*: Winter Spring Summer

Telephone number(s)*

Email address(es)*

Home Address*

Postcode*

Previous schools (if any) including school address

Entry date

Leaving date