APPLICATION FORM

Name of Child (in full)__________________________________________________________

Name of Parents or Persons with Parental Responsibility________________________________

___________________________________________________________________________

Father's Occupation____________________________________________________________

Mother's Occupation___________________________________________________________

Home Address_______________________________________________________________

Telephone No. (if any)_____________________

Mobile Nos. (if any)_____________________

Date of Birth of Child_________________ Age at entry______________________________

Previous School (if any)_________________________________________________________

Proposed date of entry__________________________________________________________

Name of Person recommending School_____________________________________________

1/We wish to enter_____________________________________________________________

as a pupil and enclose a registration fee of £25.  I/We agree to conform to any regulations laid

down in the prospectus and in the school rules. 

Signed (Father)_____________________________________________________________

Signed (Mother)____________________________________________________________

Date________________________________________________________________________