St George S (Hanover Square) Church of England School

SAINT GEORGE’S (HANOVER SQUARE) SCHOOL

SOUTH STREET, MAYFAIR, LONDON W1K 2XH TELEPHONE: 020-7629 1196 E-Mail: [email protected]

Headteacher: Mrs Judith Standing

2018-2019 Supplementary Information Form Years 1-6

Child’s Surname……………………………………………………………………………

Child’s Forenames………………………………………………………………………….

Date of Birth………………………………………………………………………………

Home address……………………………………………………………………………..

....……………………………………………………………………………………………

Home Telephone No………………………………………………………………………..

Mobile No…………………………………………………………………………………..

Email address:………………………………………………………………………………

Name of Parent or Guardian………………………………………………………………

Faith Information

Name of Church of England Parish in which you live ……………………………………

Name of Minister who can confirm your church/attendance………………………………

A letter from your Vicar/Minister/Church Leader is required confirming at least fortnightly attendance in the previous year. You will also need to supply a copy of your child’s baptism certificate. Proof of residence must be submitted

Signed Parent/Guardian……………………………………..Date…………………………