Registration Form

REGISTRATION FORM BOY’S DETAILS (Please underline the first name generally used) Surname .............................................................................................. First names ..............................................................................................

Date of birth ............................................. Proposed year of entry ........................................ Age at entry ...............................................

FATHER’S DETAILS Title ....................................................................................................... Home telephone .....................................................................................

First name ........................................................................................... Business telephone ...............................................................................

Surname ............................................................................................. Mobile telephone ...................................................................................

Address ............................................................................................... Email ......................................................................................................... ............................................................................................................... ...............................................................................................................

Postcode .............................................................................................

MOTHER’S DETAILS Title ...................................................................................................... Home telephone .....................................................................................

First name ........................................................................................... Business telephone ...............................................................................

Surname ............................................................................................. Mobile telephone ...................................................................................

Address (if different from above) ............................................................ Email ......................................................................................................... ............................................................................................................... ...............................................................................................................

Postcode .............................................................................................

With whom does the boy live? ................................................................................................................................................................................

Language spoken at home ......................................................................................................................................................................................

Nationality ..................................................................................................................................................................................................................

Please state any family connection with the School ..........................................................................................................................................

DETAILS OF BOY’S CURRENT SCHOOL Name of school ..........................................................................................................................................................................................................

Address ....................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................... .......................................................................................................................................................................................................................................

Name of Head ............................................................................................................................................................................................................

Dates of attendance .................................................................................................................................................................................................

DETAILS OF BOY’S HOBBIES AND MAIN INTERESTS ...................................................................................................................................................................................................................................... ...................................................................................................................................................................................................................................... ......................................................................................................................................................................................................................................

Is your son registered with any other school? ...................................................................................................................................................

If so, where? .............................................................................................................................................................................................................

ETHNIC ORIGIN Please indicate your ethnic origin from the list below .....................................................................................................................................

(There is no compulsion for you to provide this information - in which case you should write Ethnic background withheld) White – British, Irish, any other White background Black or Black British – African, Caribbean, any other Black background Asian or Asian British – Bangladeshi, Chinese, Indian, Pakistani, any other Asian background Mixed – White and Black Caribbean, White and Black African, White and Asian, any other Mixed background Any other Ethnic background DECLARATION (to be signed by both parents) We request that the name of the above-named boy be registered as a prospective pupil. A cheque for non-returnable registration fee of £100, made payable to The Royal Grammar School, is enclosed. We understand that the School’s acceptance of this registration form and fee does not constitute an offer of a place. We understand that the standard terms and conditions of the School will undergo reasonable changes from time to time as circumstances demand and will apply in all our dealings with the School.

We understand that the School (through the Headmaster, as the person responsible) will obtain, process and hold personal information about our son, including sensitive information such as medical details. We consent to this for the purposes of assessment for entry and, if a place is offered, in order to safeguard and promote the welfare of our son. We certify that our son has not been dismissed, nor his removal required, from any school on account of misconduct.

Father’s Signature ............................................................................

Mother’s Signature ............................................................................

Name ..................................................................................................

Name ....................................................................................................

Date ..................................................................................................... Date .......................................................................................................

This form, together with the £100 registration fee,

For office use only

should be returned to: Head of Admissions (Registrar and Marketing) The Royal Grammar School High Street Guildford GU1 3BB

RGS and Lanesborough is a company limited by guarantee incorporated in England and Wales, Company Number 10874615.

Registered Office High Street, Guildford, Surrey, GU1 3BB. Registered Charity Number 1177353.

BANK DETAILS FOR £100 REGISTRATION FEE Bank Name:

NATIONAL WESTMINSTER BANK

Sort Code: Account Number: Account Short Name:

60-09-21 01020838 ROYAL GRAM GENERAL

Please use your son’s surname as the reference and let me know when you have done this by emailing admissions@rgsg.co.uk so I can look out for it.