Admissions Registration Form
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Child’s details
Legal forename
 *
Legal surname
 *
Preferred forename
 *
Date of birth *
MM
/
DD
/
YYYY
Gender *
Address
 *
Current year group (e.g. Year 3)
 *
Proposed month and year of entry (e.g. September 2023)
 *
For Nursery and Pre-school places, please state which days/how many days you require
Parent/guardian details
Parent/guardian 1
Parent/guardian 1
Title
 *
Full name
 *
Mobile number
 *

Telephone number (home)

Email address
 *

Address (if different from child’s)

Relationship to child (e.g. mother, father, step parent, guardian)
 *
Occupation/profession
 *

Details of any other person with parental responsibility

Title
Full name
Mobile number

Telephone number (home)

Email address

Address (if different from child’s)
Relationship to child (e.g. mother, father, step parent, guardian)
Occupation/profession
Additional information
Does your child have any special educational needs or a disability that we need to be aware of? 
 *
If you have selected yes, please specify
Does your child have any allergies or medical conditions that we need to be aware of? 
 *
If you have selected yes, please specify
Does your child have a particular strength or interest we should be aware of, or anything you feel they may need support with?
Please provide the names of any relatives who are currently, or have previously, attended Richmond House
Name of present school or nursery
 *
Address of present school or nursery
 *
Do you give permission for us to contact present school or nursery as part of our transition process? 
 *
Agreement
By submitting this registration form I agree to my child being registered at Richmond House School as a prospective pupil
 *
Required
I confirm the information contained in this application is correct
 *
Required

I agree to pay the non-refundable registration fee of £25 within 3 working days by bank transfer (Lloyds Bank, sort code: 30-65-22, account number: 82786760)

 *
Required
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