School Admissions | Ashbridge Independent School

Full Name of Child

First

Middle

Last

I/We wish to apply for my/our child to attend from:

Date of Birth (DD/MM/YYYY)

Gender

Main Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Additional Address (if child lives in two or more households):

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

that permission purposes

Name & Age of Siblings

Personal Information

Ethnicity

Please include details of ethnic background and if English is an additional language, please state what is the first spoken language and details of any other languages spoken.

Nationality

Other Information

Medical Information

Name of Childs Doctor

Telephone Number

Doctors Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Details of Medical Condition, Disabilities, Allergies etc*

No special requirements

No special requirements

Dietary Requirements

Are All Immunisations Up To Date?

Contact Information

Please include name, address and ALL appropriate telephone numbers (landline & mobile) and email addresses and ensure all contacts consent to their personal details being shared with us.

Parent/Carer 1 Details

Title

Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Main Contact Number

Email Address

Relationship to Child

Is This Person Legally Responsible for The Child?

Yes
No

Place of work

Work Number

Parent/Carer 2 Details

Title

Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Main Contact Number

Email Address

Relationship to Child

Is This Person Legally Responsible for The Child?

Yes
No

Place of work

Work Number

Parent/Carer 3 Details

Title

Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Main Contact Number

Email Address

Relationship to Child

Is This Person Legally Responsible for The Child?

Yes
No

Place of work

Work Number

Designated Bill Payer

Select Bill Payer

Name

First

Last

In applying for a place in the school, I/We understand that:

T&C

Educational outings may take place away from school. I/We give permission for staff to take my/our child on outings.

Yes
No

I/we give permission for photos/videos to be taken of my/our child for use on virtual learning environments (VLEs) and understand that these photos/videos may be visible in the VLEs of other children, such as in group activities or in the background.

Yes
No

I/we give permission for photos/videos to be taken of my/our child for promotional purposes including printed materials, website, social media and local and national press, whilst attending the school or at a later stage.

Yes
No

Signature (Contact 1)

Clear Signature

Name:

Date

Signature (Contact 2)

Clear Signature

Name:

Date

Previous Nursery/School(s) Attended

How did you hear about us?

Terms

BY SUBMITTING THIS APPLICATION YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS WHICH CAN BE VIEWED HERE AND BY ASHBRIDGE REGULATIONS, POLICIES AND PROCEDURES.

Read Ashbridge School Terms & Conditions on our Policy Page

Understand

I understand the completion of this form does not guarantee a place at the school, and that a place will not be offered until the registration fee of £100 has been paid and the application has been approved by a representative of Ashbridge Independent School and Nursery.