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

Parent 1

Parent's Phone Number *

Parent's Email *

Parent 2

Does parent 2 live at the same address?
YesNo

Parent's Phone Number

Parent's Email

Additional information

Date of admission requested *
MonthJanFebMarAprMayJunJulAugSepOctNovDec Year2019202020212022

Religion

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 Register *
YesNo

Please provide brief details

Registration fee
(non-refundable)

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.