Enrolment Form

Your First Name
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Field is required!
Your Last Name
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Field is required!
Your Address
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Field is required!
City
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Field is required!
postcode
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Field is required!
Your Home Tel Number
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Your Mobile Number
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Emergency Contact Number
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Your E-mail Address
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Field is required!
Pupil's Full Name
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Field is required!
Date of Birth
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Field is required!
  • - select year group -
  • Year 3
  • Year 4
  • Year 5
  • Year 6
  • Year 7
  • Year 8
  • Year 9
  • Year 10
  • Year 11
- select year group -
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Field is required!
Doctor's information ( Name of GP, contact number and doctor's name if applicable)
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Field is required!
Medical conditions and allergies:
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Field is required!
Additional information about pupil
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Field is required!
Please select the course(s) you wish to apply for
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Field is required!
Grammar school (If applicable)
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Field is required!
Independent school (If applicable)
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Field is required!
How did you hear about us
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Field is required!
If 'Other' please specify
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Field is required!
Field is required!
Field is required!