Family Surname: Current Home Address: Office use only: R: O: D: Home Tel. Number: Notes (e.g. relocation plans etc.): T: Y/C: Parent/Guardian Details: First Parent/Guardian Second Parent/Guardian Name: Relation to child(ren): Email Address: Mobile Phone No.: Occupation: Daytime/Work Tel.: 1st Child to Enrol Child Details: 2nd Child to Enrol 3rd Child to Enrol First Name: Surname: Date of Birth: Gender: Proposed Start Date: Year Group for Entry: Nationality: Current School: First Language: Religion (optional): General Health: Interests and talents: I/we request that my/our child(ren) may be registered as candidate(s) for admission to Heathside Preparatory School. I/we understand that choice of candidates is based upon a range of qualities (academic, musical, artistic and so on) and that no selection is made on the grounds of race or religion. I/we understand that fees must be paid in full before the beginning of each term, that no refunds are made for absence and that a full term’s notice must be given in writing to the head teacher before removal of child(ren), in default of which a term’s fees are payable. I/we further understand that the school reserves the right to amend any fees and that late or non-payment may result in the suspension of my/our child(ren). I/we enclose the non-refundable registration fee of £100 per child to cover entry arrangements. I/we understand that upon a child’s acceptance into the school, a deposit of £3500 per child is payable and that this deposit will be refunded at the end of your last term, less any balance outstanding. Please note the signatures of both parents/guardians are required. Signed (1st parent) _____________________________________ Dated: __________________ Signed (2nd parent) _____________________________________ Dated: __________________ Enquiries: [email protected] An online version of this admissions form is available on our website: www.heathside.net Remus White Limited Registered in England No. 2852621