REGISTRATION FORM Please complete form for each child you would like to register.

1. CHILD’S PERSONAL INFORMATION

Surname Year group at entry: (please tick as appropriate) First name Year 7 (11+) Year 8 (12+) Preferred name Year 9 (13+)* Year 10 (14+) Middle name Year 12 (16+) Boy Girl *13+ candidates only. Will he or she be a Common Entrance candidate? Yes No Date of birth Day/Boarding status: Religion Full Boarding Weekly Boarding Nationality 3-Night Boarding Day Proposed year of entry Day with ad hoc boarding Term of Entry Michaelmas Lent Summer

2. PARENT/LEGAL GUARDIAN DETAILS Consent to the child attending the school will be required by all persons with parental responsibility. Father Please tick all that apply Fee payer Parental responsibility Address for correspondence Title First name Surname Address

Postcode County Country Tel (Day) Tel (Eve) Mobile Email Occupation Former pupil of the Royal Hospital School? Yes No Employer’s business name

Mother Please tick all that apply Fee payer Parental responsibility Address for correspondence Title First name Surname Address

Postcode County Country Tel (Day) Tel (Eve) Mobile Email Occupation Former pupil of the Royal Hospital School? Yes No Employer’s business name Other contact Please state relationship to child Please tick all that apply Fee payer Parental responsibility Address for correspondence Agent Guardian Title First name Surname Address

Postcode County Country Tel (Day) Tel (Eve) Mobile Email

3. CHILD’S PRESENT SCHOOL

School name Dates of attendance Type: Independent Maintained Other (please state) Name of Head: Title First name Surname Address

Postcode Country Telephone number Email address May we contact the school to request a report or reference upon receipt of this Registration Form? Yes No If no, when can we do this? Have you registered your child’s name with any other school(s) and if so, which?

4. SIBLINGS

If you have two or more children at the Royal Hospital School at the same time, you may be eligible for a 5% discount on the second child’s fees, a 10% discount on the third and 25% on the fourth and subsequent child’s fees. Does your child have any siblings currently in the School? Yes No If yes, please give names, year groups and Houses.

Do you have any other children for whom you may consider the Royal Hospital School in the future? Name Name DOB DOB Year of entry Sex Year of entry Sex 5. ADDITIONAL SUPPORT REQUIREMENTS Learning Support Does your child have any learning or curriculum support requirements? No Yes If yes, please attach any supporting information. English as an Additional Language Pupils for whom English is not their first language may be required to have EAL (English as an Additional Language) lessons, instead of mainstream English or a second foreign language. Please tick here if your child’s first language is NOT English and please state his or her first language.

6. EXPERIENCE AND INTERESTS

Please give details of any extra-curricular interests your child has e.g. music, art, drama, sport. Please also give brief details of any qualifications or grades received and/or membership of any groups or teams.

7. SCHOLARSHIPS, AWARDS, DISCOUNTS AND BURSARIES

Scholarships and Awards If you are interested in applying for any of the following scholarships and awards for your child, please indicate by ticking the relevant box below.

Academic Music Sports Sailing Art Design Technology Drama All-Round

For more information regarding scholarships and awards please go to www.royalhospitalschool.org

Services Families Please indicate if you are eligible for MOD Continuity of Education Allowance (CEA) Yes No Name of claimant Relationship to child Armed Service

Seafaring Families If your child has a parent with a seafaring background as outlined in the conditions of eligibility in the Additional Information book, you may be eligible for a means-tested bursary or discount on the boarding fee (full, weekly or 3-night boarding) through Hospital. Please state which you would like to apply for: Means-tested Seafarers Bursary 15% Seafarers Discount (not means-tested) For more information, please contact Greenwich Hospital on 020 7396 0140 or www.grenhosp.org.uk Royal Hospital School Bursaries My child could only enter the School if awarded a Means-tested Bursary

Royal Hospital School Bursaries are only available to children who are successful in achieving a scholarship or award.

8. VISAS

Please confirm whether your child will require sponsorship from the School in order to obtain a visa to study in the at this School. Yes No If you are not UK residents but have a visa to live and work here, a copy of your child’s visa must be provided with this registration form. Included Yes No 9. CONFIDENTIAL INFORMATION

Please provide us with details of any medical conditions, health problems or allergy affecting your child; any learning difficulty, disability, or special educational need of your child, as well as any behavioural and/or social difficulty of your child. This will enable the School to consider any adjustment that it may need to make to assist your child to partake in the School’s admissions procedure or when he or she enters the School. Please provide as much detail as possible using an attached continuation sheet if necessary and including any relevant documentation such as medical reports and assessments.

10. DECLARATION Early registration is recommended. Registrations will be considered in the order they are received. Offers of places are subject to availability and the admission requirements of the School at the time offers are made. A copy of the School’s Terms and Conditions will be supplied on request.

I / We request that our child named above is registered as a prospective pupil. I / We understand that the School (through the Head, as the person responsible) may obtain, process and hold personal information about me / us which may include financial information provided by me / us or by any licensed credit reference agency or information contained in any court orders, petitions or proceedings. I / We understand that the School may also obtain, process and hold personal information about our child which may include sensitive information such as medical details, and I / 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. I / We enclose the non- refundable Registration Fee of £75, together with this completed Registration Form duly signed by me / us.

I / We enclose a cheque for £75 payable to ‘Royal Hospital School’

or agree to make a transfer payment to the Royal Hospital School

I / We enclose a copy of my child’s passport

Bank Name: Barclays Bank plc, 1 Churchill place, Canary Wharf, London E14 5HP Account Sort Code: 20-65-68 Account Number: 33923894 IBAN: GB50 BARC 2065 6833 9238 94 SWIFT Code: BARCGB22 Please ensure that your child’s name is quoted as a reference. This form should be signed by all persons with parental responsibility and returned with the non-refundable Registration Fee and a copy of your child’s passport for identification purposes.

First Parent / Legal Guardian Second Parent / Legal Guardian

Name in full Name in full

Relationship to child Relationship to child Date Date

Please return to: The Admissions Office, Royal Hospital School, Holbrook, , IP9 2RX Tel: 01473 326 136 Fax: 01473 326 213 Email: [email protected]

Royal Hospital School is registered as a Data User under the Data Protection Act 1984 and our use of personal information is notified to the Information Commissioner as we are required to do under the Data Protection Act 1998. Royal Hospital School has no separate legal identity from that of Greenwich Hospital and therefore, for the purposes of the Data Protection Act, is synonymous with the Hospital. The information which you provide to the Royal Hospital School on this Registration Form will be used for processing your application, determining eligibility for a Greenwich Hospital bursary, and for statistical purposes. Any information which you provide to the Royal Hospital School may be disclosed on a confidential basis to departments or individuals of Greenwich Hospital by the Royal Hospital School but will be done so in keeping with the Royal Hospital School’s obligations under the Data Protection legislation when necessary. The School will ensure that all personal information is held securely and is not accessible to unauthorised persons.