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
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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