Registration Form - Town Close School

Download a hard copy of our Registration Form

Alternatively, you can complete the Registration Form on-line, as below.

Candidate Details

Passport Style Photo*

Name*

Forenames Surname

Pref. Forename*

Date of Birth*

Gender Identity*

Sex assigned at birth*

Year of Entry*

e.g Reception, Autumn 2018

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Home Telephone

Nationality*

First Language*

Languages Spoken at Home*

(NB: If and when a place is offered, evidence of a valid visa will be required for candidates who are not UK residents or residents of the EEA or Switzerland.)

Present School / Nursery / Playgroup

Name of School

Type of School

Name of Head

Date Started

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

I/We give permission for a representative from Town Close School to approach my / our child’s current setting during the admissions process to share information about my / our child’s development.

*

Please Tick to Confirm

Details of First Parent / Guardian

Primary Contact*

Yes
No

This is who we will liaise with throughout your application

Legal Responsibility*

Yes
No

Parental Responsibility*

Yes
No

Title*

Name*

First Last

Relationship to Pupil*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Email*

Home Telephone*

Work Telephone

Mobile

Occupation*

Details of Second Parent / Guardian

Primary Contact*

Yes
No

This is who we will liaise with throughout your application

Legal Responsibility*

Yes
No

Parental Responsibility*

Yes
No

Title*

Name*

First Last

Relationship to Pupil*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Email*

Home Telephone*

Work Telephone

Mobile

Occupation*

Other Family Members

Please provide the names of any other members of the family attending the School or registered for entry, or with any other connection to the School

Details

Special Needs and Disabilities

Does your child have any special educational needs or disabilities requiring special arrangements to be made in respect of the assessment process? Yes No (A disability is defined as a physical or mental impairment which has a substantial and long-term adverse effect on the ability to carry out normal day to day activities.) If you have answered yes, please provide more information below or contact the Marketing and Admissions Manager on +44 (0)1603 599030.

Details

SEN Information

If your child has been diagnosed with special educational needs can you please provide a copy of their educational psychologist’s report or medical report and provide us with any useful further information in box below.

Details

Bursary Scheme

We offer means tested awards and seek to focus this support on candidates demonstrating a particularly strong need for a Town Close education. Bursary assistance is offered subject to confirmation of financial status, the availability of funds and is subject to annual review. Details of arrangements for bursaries and application forms will be sent to everyone who expresses an interest. For more information, please contact the Marketing and Admissions Manager on +44 (0)1603 599030.

Marketing Information

How did you learn about the School?

Details

Declaration

We request that the named child be registered as a prospective pupil AND we confirm payment for the non-refundable Registration Fee of £100. Online payments can be made via the Payments section of this website. Please tick to confirm.

*

Please Tick to Confirm

By signing this Registration Form we understand, accept and agree that:

Registration of my/our child as a prospective pupil does not secure our child a place at the School but does ensure that my/our child will be considered for a place;
In the event that my/our child is offered a place at the School, such an offer will be subject to the School’s Terms and Conditions for the provision of educational services, which will bind us in the event that I/we accept the place.

*

Please Tick to Confirm

A copy of the current Terms and Conditions (known as the School’s parent contract) is available for your information upon request at any time, but please note that the version of the parent contract supplied may be subject to change prior to the point in time when a place at the School for your child may be offered.

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