Fields marked with an
* are mandatory Child's first name(s) * Child's last name * Name generally used Gender Nationality * Does your child require a visa to study in the UK? * First language (if not English) Religion Ethnic origin White: British, Irish, Other Asian or Asian British: Indian, Pakistani, Bangladeshi, Chinese, Other; Mixed or multiple ethnic groups: White & Black Caribbean, White & Black African, White & Asian, Other Black, African, Caribbean or Black British: African, Caribbean, Other Other: Arab, Other Prefer not to say Proposed term and school year of entry * Proposed date of entry * If the child will be in Nursery, which days will be required? Name of current school or nursery * Address of current school or nursery * Has your child been assessed for any of the following? (Please tick as appropriate.) * If yes to any of the above, please clarify
Please send in any reports related to the above. E.g. medical report or educational psychology assessment.
Child’s interests and hobbies such as sport, music, drama etc: Are there any special arrangements that need to be made for your child when they visit for an assessment? (Please specify.) Please give details of other members of the family that attend the School or who are registered for entry, or any other connection with the School:
The information you provide will help us to make any special arrangements which are required for the School’s admission process. Failure to disclose relevant information may result in the School being unable to make reasonable adjustments and/or may lead to the withdrawal of any offer.
Parent 1 Details Title and Full Name * Address (if different to child) Occupation Home tel * Work tel Mobile tel Email * Parent 2 Details Title and Full Name * Address (if different to child) Occupation Home tel Work tel Mobile tel Email Please provide the name and address of any other person with legal responsibility for the child. Their consent will be required if the child is offered a place at the School Declaration
We request that the above named child be registered as a prospective pupil of the School and we have paid the non-refundable Registration Fee of £100 by bank transfer to
Chesham Preparatory School; sort code 52 21 27; account number 52372219
. Please use the child’s name as a reference.
We understand that:
The registration of our child as a prospective pupil does not secure our child a place at the School but does ensure that our child will be considered for entry as a pupil at the School. If our child is offered a place at the School, such an offer will be subject to the School’s Terms & Conditions for the provision of educational services, which will bind us in the event that we accept the place. The School may request a reference from our child’s current school or nursery. The School may contact other people with parental responsibility to check that they consent to our child joining the School. The School may share our information with credit reference agencies. Data protection
I/we understand that the personal information we have provided will be processed for the purposes set out in the School’s Privacy Notices (available on request and on the School’s website). This personal data will be processed in accordance with data protection law, only used for the purpose(s) for which I/we have supplied it, and (except where I/we have consented) only shared with third parties where it is necessary to do so and the law allows it. If our child is not offered a place, or if we do not accept an offer of a place, the School will only retain this information for as long as required. Unless there are exceptional circumstances, information is kept for a year after the end of the admissions process.
Name in full * Relationship to the child * Name in full * Relationship to the child *