Sagepay test

Pupil Information
Name*
First Name(s) Surname Preferred Name
Date of Birth*
Nationality*
Religion*
If 'Other' please specify
Ethnicity*
This information is requested to ensure we comply with our Equal Opportunities policy and is not part of the admissions procedure.
If 'other', please specify your child's ethnicity here*
Proposed Level of Entry*
If 'Other', please state which year.
- Nursery (3+)
- Reception (4+)
- Year 7 (11+)
- Year 12 (16+)
Would you like to apply for a Bursary?*
- Yes
- No
Calendar year of entry*
Is your child currently enrolled in a school/nursery?*
- Yes
- No
Current School/Nursery
Current School/Nursery*
Please specify the current school/nursery that your daughter attends.
Current School Address*
Street Address Address Line 2 Town Postcode Country
Current School/Nursery Contact Number*
Previous Schools
Please provide the name and address of any school attended in the last 3 years

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Parent/Guardian 1
Name*
Title First Last
Relationship to Child*
Address*
Street Address Address Line 2 Town County Postcode Country
Mobile*
Other Contact Number
Email Address*
Parent/Guardian 2
Title First Last
Relationship to Child
Different address to Parent 1/Guardian?
- Yes
Address*
Street Address Address Line 2 Town County Postcode Country
Mobile*
Other Contact Number
Email Address*
Please indicate your daughter’s main address*
- Parent/Guardian 1
- Parent/Guardian 2
To whom should correspondence be addressed?*
- Parent/Guardian 1 only
- Parent/Guardian 2 only
- Both

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Pupil Information