Child Information

Child's First Name*

Child's Middle Name

Child's Last Name*

Child's Date of Birth*

Day/Month/Year

Child's Gender*Please SelectFemaleMale

Current School *

Proposed School Year Group on Entry*Please SelectNurseryPre-ReceptionReceptionYear 1Year 2Year 3Year 4Year 5Year 6

Proposed Year of Entry *Please Select2023-242024-252025-262026-272027-282028-292029-302030-312031-322032-332033-34

Do you have more than one child interested?*Please SelectYesNo

Parent Information 

Parent's Title  *Please SelectMrMrsMsMissDrSirLadyCapt.LordProf

Parent's First Name*

Parent's Last Name*

Email*

Phone Number*

Is there any further information you would like to add?

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