Registration Form
Child's Legal Name
*
First Name
Last Name
Preferred First Name
*
Preferred Last Name (if different from the legal last name)
Date of Birth
*
-
Day
-
Month
Year
Date
Gender
*
Nationality
*
Religion
First Language of Family if not English
Home Address of the child
*
Street Address
Street Address Line 2
Town/City
County
Post Code
Proposed Start Date (Term & Year, I.E., 'Reception Summer 2024')
*
Present School Name, contact number and email address
*
If your child currently attends a Nursery, we will use this information to contact and arrange a visit prior to your child joining Reception.
Does your child have any special educational needs? Please give details
Does your child have a disability which might require special provision or adjustment? Please give details
Parent 1
*
Title
First Name
Last Name
Parent 1 Occupation
*
Parent 1 Contact Number
*
Parent 1 Email Address
*
example@example.com
Parent 1's Address (if different from the child's home address)
Street Address
Street Address Line 2
Town/City
County
Post Code
I have sole parental responsibility
*
Yes
No
Parent 2
*
Title
First Name
Last Name
Parent 2 Occupation
*
Parent 2 Contact Number
*
Parent 2 Email Address
*
example@example.com
Parent 2's Address (if different from the child's home address)
*
Street Address
Street Address Line 2
Town/City
County
Post Code
How did you hear about Littlegarth School?
My Products
*
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Registration Fee
£60.00
£
60.00
Quantity
1
2
3
4
5
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: