Student Date of Birth *

MM

DD

YYYY

Student Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Parent Phone Number *

(###)

###

####

Parents' Relationship Status

Married

Divorced

Other

Emergency Contact Phone Number *

(###)

###

####

Does the student have siblings in the school?

Yes

No

*

I certify that the above information is accurate and correct to the best of my knowledge.

*

I agree to pay the School Fees on or before the due dates of payments.

*

I understand that the school has the right to withhold the enrolment fee £100 paid should the child not attend school

*

I understand that when the student leaves the school for any reason, there will be no refund issued for school fees and I am obliged to pay any remaining fees.

*

I understand that the School has the right to suspend my child for breaking its code of conduct.

*

I have read and understood the school’s policies and I will adhere to them.

I give permission for my child’s image to be used on the school website (optional).

I give permission for my child’s image to be used on the school website (optional).