Register Your Child

Surname of your child:

First Names:

Preferred Name:

Date of Birth:

Nationality:

Gender:

Religion:

Ethnicity:

First language spoken by child:

Other languages spoken at home:

Proposed term and year of entry:

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

First Parent / Guardian

Title & Full Name

Address Line 1

Address Line 2

City

County

Postcode

Country

Daytime Telephone:

Evening Telephone

Email

Occupation

Second Parent / Guardian

Some description about this section

Title & Full Name

Address Line 1

Address Line 2

City

County

Postcode

Country

Daytime Telephone:

Evening Telephone

Email

Occupation

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

How did you first hear about King's House?

Other details

Please state the name and address of the present school / nursery, if any (with dates)

Name of Head

Please provide us with details of any medical conditions (including allergies), disabilities or leaning difficulties of your child.

Declaration:

We request that the name of our above-named child be registered as a prospective pupil. A bank transfer or cheque for the non-returnable registration fee of £120 (inclusive of VAT) will be made or enclosed.

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.

First signature (print name)

Second signature (print name)

Name in Full

Relationship to the Child

Date

Account Name: King's House School

Account Number: 00349215

Sort Code: 30-97-06

Reference: REG followed by Child's full name

Registration Form

First Parent / Guardian

Second Parent / Guardian

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