Applicant name *
Date of Birth
Applicant’s Mobile Number
Present School (If applicable)
Present School Phone Number
Present School Headteacher
Parent Phone Number *
Parent Email *
Does parent 2 live at the same address?
Parent Phone Number
Date of admission requested *
Please could you let us know how you came to hear of Mount House School? *
From current schoolWord of mouthInternet searchListing in a schools publicationOther
Please indicate if your son/daughter is on a SEN or Gifted and Talented Register *
Please provide brief details
Bank - Natwest - Mount House School
Sort Code - 50 00 00
Account Number - 26964732
Ref – your child’s name
Student type *
£75 - UK student£75 - International student
Please confirm Payment of Registration Fee
Please leave this field empty.
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