REGISTRATION FORM

CHILD’S SURNAME ______DATE OF BIRTH ______

CHRISTIAN NAME(S) ______NATIONALITY ______(Please underline preferred name)

PROPOSED TERM & YEAR OF ENTRY Autumn  Lent  Summer  20______

PROPOSED ENTRY YEAR GROUP PRE-PREP: Nursery  ; Reception  ; Year 1  ; Year 2  ;

PREP: Year 3  ; Year 4  ; Year 5  ; Year 6  ; Year 7  ; Year 8  ;

BOARDING  : FLEXI-BOARDING  ; DAY PLACE  ; BOY  ; GIRL  ;

NAME ANY SIBLINGS WHO ARE CURRENT/FORMER PUPILS:______

PRESENT SCHOOL – full address and name of Head (if applicable) ______

______

PROPOSED DESTINATION AFTER : ______

PARENTS FATHER MOTHER

Name ______

Address ______

______

Home ______

Mobile ______

Email ______

Profession/ Occupation ______

DECLARATION If our child is accepted for entry to Elstree School in the term/s stated, or in some other term/s, we agree a) to give a full term’s notice in writing of withdrawal from the Entry List, or pay one term’s fees in lieu of such notice, and b) to give a full term’s notice in writing of our intention to remove our child from the school, or pay one term’s fees in lieu of such notice, and c) that we will give one full term’s notice before requesting a change of status from Boarder to Day Pupil, and d) to settle the school fees account by the first day of each term. The Governors reserve the right to make a surcharge on overdue accounts

Date ______Signed (Father) ______Date of Birth______

Date ______Signed (Mother) ______Date of Birth______

Please Note (i) Both parents must sign this registration form. (ii) A Registration Fee of £100 must accompany this form (cheque payable to ‘Elstree School Ltd’). (iii) Parents are asked to keep the school fully informed about changes of address.

This information is required so that we can maintain a record of prospective pupils and their families that have registered an interest in a place at the School and so that we can maintain contact with you in order to progress the registration and to obtain a reference from the current school to assist in our legitimate assessment of the registration.

Elstree School is a Company Limited by Guarantee No. 690450 & a Registered Charity No. 309101. Registered Office: Elstree School, , Reading, RG7 5TD