Application Form

Pupil's Details
Surname*
Middle name
First names (in full)*
Preferred name
Date of birth*
DD slash MM slash YYYY
Nationality*
Proposed date of admission (term and year)*
Parent or Guardian Details
Contact 1
Name*
Title: First Name: Last Name:
Relationship to child*
Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Occupation*
Nationality*
Home Tel
Work Tel
Mobile*
Email*
I am the sole parent or guardian for this child
- I confirm that I have sole responsibility for this child
Contact 2
Name
Title: First Name: Last
Relationship to child
Address
- Address same as contact 1
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Occupation*
Nationality*
Home Tel
Work Tel
Mobile
Email
Guardian Details
Name of guardian, if applicable (Please note that the appointment of a guardian is compulsory if both parents are non-UK residents)
Title: First Name: Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Tel
Work Tel
Mobile Tel
Email

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Payment Details
Please submit all required payment details for payment of your £60 registration fee.
Application Fee
Price:
Billing Information*
First Name: Last Name:
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card*
Card Details
Cardholder Name
Declaration*
We request that the name of the above-named boy be registerd as a prospective pupil. We understand that: 1. Registration of our son as a prospective pupil does not secure our son a place at the School but does ensure that our son will be considered for selection as a pupil at the School; 2. The School may process personal data about us and about our son, including sensitive personal data such as medical details, for the purpose of administering its list of prospective pupils and its selection procedures and we consent to the processing of our and our son's personal data (including sensitive personal data) for these purposes; 3. In the event that our son is offered a place at the School , such an offer will be subject to the School's terms and conditions for the provision of educational services, which will bind us in the event that we accept the place; 4. Failure to disclose material information such as history of medical or special educational needs that subsequently impacts adversely on the School's ability to meet fully our son's educational needs or the needs of others may result in the offer of a place our son's place at the School being withdrawn
- I have read and understood the Declaration
Total
£ 0.00
Phone
This field is for validation purposes and should be left unchanged.

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Step 1 of 3

Pupil's Details

Parent or Guardian Details

Contact 1

Contact 2

Guardian Details

Payment Details