Register for a Place

Child's name *

Boy/Girl *
---BoyGirl

Address *

Date of Birth
MonthJanFebMarAprMayJunJulAugSepOctNovDec Year200120022003200420052006200720082009201020112012201320142015201620172018

Nationality *

Present School (If applicable)

Present School Phone Number

Present School's Headteacher

Mother

Mother's Phone Number *

Mother's Email *

Father

Do both parents live at the same address?
YesNo

Father's Phone Number

Father's Email

Additional information

Date of admission to Mount House*
MonthJanFebMarAprMayJunJulAugSepOctNovDec Year2019202020212022

Religion

Does you child have a sibling at Mount House School?

Please tell us how you heard of Mount House School? *
From current schoolWord of mouthInternet searchListing in a schools publicationOther

Does your child have any Special Educational Needs?
YesNo

If yes, please provide a brief summary below:

To complete your registration, kindly transfer the £75 registration fee (non-refundable) to:

Bank - Natwest - Mount House School
Sort Code - 50 00 00
Account Number - 26964732
Ref – your child’s forename and surname

Please leave this field empty.