REGISTRATION FORM

Proposed Month and Year of Entry ...........................................................................

If applying to join the Nursery, please state days and sessions required .............................

Surname .............................................. Full Christian Name (s) .....................................

Date of Birth ............................ Place of Birth ............................ Nationality ..................

Religious Denomination ....................... Baptised, when / where ........................................

(Please enclose copy of baptismal certificate)

Name and Address of Parent(s) - Please show separate addresses if separated or divorced (1) ....................................................................................................................................... ................................................................................................. Post Code ......................... Tel No [Day] ........................................... [Evening] .........................................................

(2) ....................................................................................................................................... ................................................................................................. Post Code ......................... Tel No [Day] ........................................... [Evening] .........................................................

Please advise of any change of address immediately

Present School

Name and Address .............................................................................................................................................. .............................................................................................................................................. Since when has he / she been there ....................................................................................... name of HT ................................................... Tel No. .......................................................

This form should be sent, together with the Entrance Fee of £50, to the Headmaster. Acceptance is subject to interview or Assessment Day spent at the school, whichever is applicable.

Entrance Fee enclosed ............................................................. Date .................................

The general information and conditions, as set out in the current prospectus, which may be amended from time to time, shall continue to apply for the whole period during which the pupil continues to attend the School, irrespective of age. Up to date terms and conditions are printed on the reverse side of invoices.

Boys applying to the Junior School are considered to be intending to proceed to St George's College and do not need to complete a second application form.

Signatures [Father] .......................................... [Mother] ..................................................

ST GEORGE'S COLLEGE JUNIOR SCHOOL, WEYBRIDGE - CHARITY No. 1017853, A COMPANY (2789023) LIMITED BY GUARANTEE WEYBRIDGE ROAD, ADDLESTONE, SURREY KT152QS TELEPHONE 01932 845784 FAX: 01932 843689

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Last Updated : 1st March 1996
Signed : Br Patrick