Registration Form - Our Lady of Sion

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Year of Entry*

Term of Entry*

Academic Year Group*

Child’s Details

Surname*

Forename*

Preferred Name*

Sex*

Address*

Date of Birth*

Nationality*

Language Spoken at home*

Religious Denomination

Present School*

Date of Admission

First Parent Details

Surname*

Forename*

Title*

Relationship with Child*

Address if different to child

Mobile Number*

Email Address*

Second Parent Details

Surname

Forename

Title

Relationship with Child

Address if different to child

Mobile Number

Email Address

Please list any medical conditions, disabilities, SEN, allergies, intolerances or dietary requirements

Daytime Emergency Contact Details – Not parents

In an emergency we would contact the child’s parents in the first instance on the telephone numbers shown overleaf, but if we are unsuccessful, we are required by law to have details of two other people who we can contact in the case of an emergency.

Surname*

Forename*

Mobile Number*

Relationship to child*

Surname*

Forename*

Mobile Number*

Relationship to child*

Are you applying to any other schools for your child?*

Yes

Please indicate which schools:

We request that the child named above be registered as a prospective pupil, but realise this does not guarantee a place will be offered. We understand that once a place is offered and accepted (from Reception to Year 10), a £300 deposit will be payable to secure the place and that current deposit requirements are detailed on the School website. Deposits are nonrefundable in the event of the above named child failing to start. We understand that a term’s notice in writing is required before the withdrawal of a pupil and that failure to give such notice means that a term’s fees will be charged. We understand that the Terms and Conditions of the School, as stated in the Parent Contract, will undergo reasonable changes from time to time, as circumstances require, and will apply in all our dealings with the School. We understand also that the School (through the Head, as the person responsible) may obtain, process and hold personal information about the above child, including sensitive information such as medical details. We consent to this for the purposes of assessment and, if a place is offered, in order to safeguard and promote the welfare of the child. A copy of your child’s birth certificate will be required.

It is requested that both parents sign the form, but if this presents any difficulty, please let the Admissions Registrar know.

The £60 (inclusive of VAT) non-returnable Registration Fee should be paid via bank transfer.

Account details: Our Lady of Sion School. Lloyds TSB Bank, South Street, Worthing. Sort Code: 30-99-93 Account 43727468

Signature (1st Parent)*

Signature (2nd Parent)*

Date (1st Parent)

Date (2nd Parent)