Registration Form

REGISTRATION FORM SENIOR SCHOOL T. 01225 734210 | E. admissions@kingswood.bath.sch.uk | www.kingswood.bath.sch.uk PREPARATORY SCHOOL T. 01225 734460 | E. kpsreception@kingswood.bath.sch.uk

SECTION 1 Child's Surname: Forename(s):

Preferred Name:

Date of Birth:

Gender: M / F

Nationality:

Ethnicity:

Religion:

Academic Year: 20

Year Group:

SECTION 2 Proposed Entry Date:

Boarding

Type of Place: (please tick)

Weekly Boarding

Day Pupil

SECTION 3: PARENT 1 Title:

Forename:

Marital Status:

Occupation:

Surname:

Address: Daytime Tel:

Evening Tel:

Mobile:

Title:

Forename:

Surname:

Marital Status:

Occupation:

Email:

SECTION 4: PARENT 2

Address: (if different from above) Daytime Tel:

Evening Tel:

Mobile:

Email: If you have completed this section with a different address from section 3, please indicate at which address your child lives: Father

Mother

Other (Please specify)

SECTION 5: CONNECTIONS WITH KINGSWOOD Please give details of any family connections with Kingswood Prep or Senior School:

SECTION 6 Please tick any relevant boxes to indicate how you first heard about the School: Local Reputation

Present School

Internet (please state site)

Advertisement (please say where)

Agent (state which one)

Other (Please specify)

Friend’s Recommendation

REGISTRATION FORM

SECTION 7 Have you registered your child at any other school?

Yes

No

If yes, which one?

SECTION 8: PLEASE GIVE THE NAME AND ADDRESS OF YOUR CHILD'S CURRENT SCHOOL Name of School:

Name of Head:

Address: Tel. Number:

Email:

Dates attended:

Until:

Permission to request a School reference as part of our entrance procedures:

Yes

No

SECTION 9: REGISTRATION FEES For all new registrations to Kingswood School at any age.

£125 per application

Online payments can be made on the school website, www.kingswood.bath.sch.uk, quoting your child's name & 'Reg Form' Or Bank Transfer Barclays Bank, Account Name: Kingswood School Trustee Limited, Sort Code: 20 05 38 Account Number: 00997269, IBAN: GB29BARC20053800997269, Swift: BARCGB22 Kingswood School’s Marketing department will use the information you provide on this form to get in touch with prospective families and provide you with updates about Kingswood School and admissions events. Please let us know that you consent to this, and what you are interested in hearing about by opting in below.

I consent

I do not consent

Quarterly Newsletter

Future Events

Neither

SECTION 10: FOR UK STUDENTS (BRITISH PASSPORT HOLDERS) Please attach a copy of your child’s birth certificate and passport (photo ID page).

SECTION 11: FOR OVERSEAS STUDENTS ONLY (NON-BRITISH PASSPORT HOLDERS) Does your child require a study visa?

Yes

No

If yes, please provide the following documents when submitting the Registration form: 1. Child’s birth certificate 2. Child’s current passport (photo ID page) 3. Both parent’s current passports (photo ID page)

NOTES: Early registration is recommended as places for certain year groups become over-subscribed and all other factors being equal in terms of entrance assessments and school report, the time of registration may become a deciding factor.

Offers of places are subject to availability and the admission requirements of the School at the time offers are made. All assessment results are final. We do not disclose actual results, nor do we enter into correspondence about individual results. A copy of the current edition of the Standard Terms and Conditions are provided at the point of offer, or can be provided earlier on request.

DECLARATION We / I request that the above named child be registered as a prospective pupil. The non-refundable registration fee can be paid online at www.kingswood.bath.sch.uk or using the bank transfer details above. We understand that: 1. Registration of our child as a prospective pupil does not secure our child a place at the School but does ensure that our child will be considered for selection as a pupil at the School.

2. The School may process personal data about our child, including sensitive personal data such as medical details, for the purpose of administering its list of prospective pupils and administering its selection procedures and we consent to the processing of our child’s personal data (including sensitive personal data) for these purposes.

3. In the event that our child is offered a place at the School, such an offer will be subject to the School’s terms and conditions for the provision of educational services, which will bind us in the event that we accept the place.

(Each of those with parental responsibility to sign and complete below)

First Signature:

Second Signature:

Name in full:

Name in full:

Relationship to the Child:

Relationship to the Child:

Date:

Date:

PROSPECTIVE PUPIL INFORMATION

Full Name:

Preferred Name:

Q1: In what ways do you hope your child will benefit from a Kingswood education?

Q2: What three words best describe your child’s personality?

Q3: What are your child’s main hobbies and interests (artistic, dramatic, musical, sporting etc)?

Please provide details as appropriate, including examinations or grades taken, certificates attained, clubs represented etc.

Q4: Has your child held any positions of responsibility in his / her current school or within a club or organisation?

If so, please give details:

Q5: Has your child been identified as having a particular academic strength? Please provide details, including any Academic Scholarship(s) awarded by the current school:

Q6: Has your child been identified as having a particular talent (e.g. sport, music, drama, art)? Please provide details, including any Special Talent Scholarship(s) awarded by the current school:

PROSPECTIVE PUPIL INFORMATION

Q7: Please provide us with details of any medical condition (including allergies), disabilities or learning difficulties of

your child. You must disclose any factors which may affect your child’s ability to cope independently within the mainstream school environment. If your child has learning difficulties an Educational Psychologists report and / or an Individual Educational Programme, this must be presented as part of the application. Failure to disclose any learning difficulties or medical conditions at the time of application may result subsequently in a place being withdrawn. Any offer made by the school is subject to being able to meet the individual needs of the child.

Has your child ever been diagnosed with any of the following: Allergies

Dyspraxia

Dyslexia

Autism

Dyscalculia

ADHD

Learning Difficulties

Hearing / Visual / Speech Impairment

Emotional or Behavioural Difficulties

Q8: Has your child ever received support in a special education programme?

If yes, please give details:

Q9: Is your child currently taking medication for any of the above? If yes, please give details:

Q10: Has your child ever been temporarily or permanently excluded from school? If yes, please give details:

Q11: For applicants, for whom English is an Additional Language (EAL). Please indicate the extent of knowledge of English, the number of years studied and qualifications if any. Kingswood offers excellent specialist teaching support for EAL students, however requires a basic command of English as an entry requirement.

First language:

Second language:

Other languages spoken:

Kingswood School, Lansdown, Bath BA1 5RG | Email: admissions@kingswood.bath.sch.uk www.kingswood.bath.sch.uk Kingswood School seeks to fulfil the legal requirements placed upon all schools, state and independent, of the Special Education Needs & Disabilities Act 2001. If you feel that your son or daughter has any special requirements we need to meet in order for him or her to have equal access to the assessment procedures, please inform us and send us with any relevant reports.

Thank you for providing this information