Registration Form

Interested in Pre Prep / Prep *

Interested in Pre School :

8 am - 5 pm
5pm - 6pm (by prior arrangement)

Please Note: 5pm - 6pm only applies from Mon - Thurs.

Child's Name *

First

Last

Date of Birth *

Nationality *

Religion *

Ethnicity *

Proposed Date of Entry *

1. Parent/Guardian Information

Dropdown *

Name *

First

Last

Relationship to the child *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Home Phone Number *

Work Phone Number *

Mobile Phone Number *

Email Address *

2. Parent/Guardian Information (If Applicable)

Dropdown

Name

First

Last

Relationship to the child

Address (copy)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Home Phone Number

Work Phone Number

Mobile Phone Number

Email Address

Please mention here the names of any other members of the family attending the School or registered for entry or any other connection with the School

How did you first hear of the School:

If Other, please give details

Current School

Please give the following information regarding present school/nursery

School/Nursery name

N/A if not applicable

Attendance dates from

Attendance dates to

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

N/A if not applicable

Telephone number

In order for the school to comply with its obligations under the Disability Discrimination Act, please give details of any known physical disability affecting your child. Continue on a separate sheet if necessary. *

Please provide details of any medical or Special Educational Needs of which Buckingham Preparatory School should be aware. Please include any reports with your application *

Please note. Early registration is recommended. This registration form does not give rise to a commitment by the School or the parents. The offer of a place is subject to ability and the requirements of the School at the time of offer.

Before signing, please ensure that you have read and understood the standard terms and conditions. The registration fee is £50.00 to be paid by bank transfer or cheque (payable to: E. Ivor Hughes Fee Payment A/C.

Declaration

I/We request that the above-named child be registered as a prospective pupil.

Multiple Choice *

A non-refundable registration fee of £50.00 has been paid by bank transfer to: E. Ivor Hughes Fee Payment A/C Account No: 01917587 Sort code: 30-98-07
A cheque for £50.00 – payable to E. Ivor Hughes Fee Payment A/C – for the non-refundable registration fee is enclosed.

I/We understand that the standard terms and conditions of the School will undergo reasonable changes from time to time as circumstances require and will apply in all my/our dealings with the School *

I Agree

For full Terms and Conditions please see our website: www.buckprep.org/fees-bursaries/

GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my enquiry.

Please note a £50 registration fee is payable on submission of this form Once submitted please provide the school with a copy of your son’s birth certificate

1. Parent/Guardian Information

2. Parent/Guardian Information (If Applicable)

Current School

Declaration

Please note a £50 registration fee is payable on submission of this form
Once submitted please provide the school with a copy of your son’s birth certificate