* Required

Request for child to be registered as a prospective pupil

Please complete this form in as much detail as possible. We need this information to be able to process your application for a place for your child.

Information which is mandatory for you to provide is indicated below by a *. If you do not complete the mandatory sections in full this may jeopardise or delay your application.

Your Child

(underline preferred name)
(please tick)

First signatory

(e.g. Mr or Mrs)
(if different)​
(if different)​​
(including postcode)​

Second signatory

(e.g. Mr or Mrs)
(if different)​
(if different)​​
(including postcode)​

Other people with parental responsibility*

Please provide the name(s) and current address(es) of any other person with parental responsibility (i.e. legal responsibility) for the above named child. This may be a legal guardian or step parent and their consent to the child attending the School will be required if an offer of a place is made.
(e.g. Mr or Mrs)
(including postcode)​

If those with parental responsibility are based outside the UK, an Education Guardian who is based in the UK must be appointed by those with parental responsibility by the time the child joins the School.

If the answer is ‘Yes’, we will provide further information on what is required of an Education Guardian and what details must be provided regarding that person.
Please mention here the names of any other members of the family attending the School or registered for entry; or any other connection with the School.​
please give details​

Please state the name and address of the present school plus the name(s) of previous school(s) attended in the last 3 years (with dates of attendance)

Please provide us with details of any medical condition, health problem or allergy affecting your child; any learning difficulty, disability, or special educational need of your child, as well as any behavioural, emotional and / or social difficulty of your child, using the attached Confidential Information Form

(if applicable)

If your child is a national resident of a country outside the EEA, or if you have provided a home address for correspondence outside the EEA, please note that the School is required to take steps to ascertain that your child has permission to be and study in the UK.

(if applicable)​

If your child has or will have a time restricted or temporary visa in any other immigration category (for example, as a dependent) please provide a copy of this when returning this form.Please note that we will be unable to process your registration until such copy documentation is provided.

Declaration (* - Please delete as applicable)

Signatures

First signatory

(please include all names)​

Second signatory

(please include all names)​

Please note that we reserve the right to:

i.request further information and sight of documentation in support of your declarations regarding immigration; and

ii.to share information with UK Visas and Immigration (UKVI) and the Home Office for the purposes of compliance with our responsibilities as a licenced sponsor.

The School may be required to notify and / or supply information relating to your (i.e. the parents) and / or your child's right to enter, reside and / or study in the United Kingdom to UKVI and the Home Office (and to do so whether we sponsor your child or not).

Notes

Early registration is recommended. Registrations will be considered in the order they are received. Offers of places are subject to availability and to the admission requirements of the School at the time offers are made. A copy of the School's Terms and Conditions will be supplied on request.

How we will use the information provided in this form

This information will be used by the School during the admissions process in order to manage and assess your application and your child's suitability for a place at the School.

For example:

a)we may contact your child's current or previous school to ask for a reference;

b)we may contact other people with parental responsibility to check that they consent to your child joining the School;

c)the Confidential Information Form will be used to ensure that we have made any reasonable adjustments/suitable arrangements for your child when they visit the School or during any entrance assessments and subsequently if they are offered a place;

d)we may share your information with credit reference agencies.

We may also need to share information with UKVI as explained above.

If your child is not offered a place, or if you do not accept the offer of a place, we will only retain this information for as long as we need to. Unless there are exceptional circumstances, or to comply with regulatory requirements/guidance or other established practice within the independent sector, information is kept for a year after the end of the admissions process.

For more information about how the School will use your personal data, and your child's personal data, which may include special category personal data such as medical details, please see our Privacy Notice which is published on the School's website: www.horrishill.com. If your child is aged 12 years or older please show him a copy of the Privacy Notice and discuss it with him.

Confidential Information Form

All information received in this form will be treated in confidence. Please provide us with as much detail as possible in the spaces below. Where possible, please also provide any relevant documentation such as medical reports, assessments etc.

The information requested on this form is needed because the School has contractual and statutory duties towards your child. The information provided will also enable the School to consider any adjustments that it may need to make to assist your child to partake in the School's admissions procedure or when he enters the School.

Prior to the commencement of the admissions process, we will contact you about any special arrangements your child may require.

For more information about how the School will use your personal data, and your child's personal data, which may include special category personal data such as medical details, please see our Privacy Notice which is published on the School's website: www.horrishill.com.

Signatures

First signatory

(please include all names)​

Second signatory

(please include all names)​