Apply for a Place

To apply for a place at Luckley House School, please complete the online Registration Form, or download a pdf version below.

To be submitted with the registration fee of £100.

Pay via BACs to LUCKLEY HOUSE SCHOOL Sort Code 60-24-21
Acc Number 67743811

DETAILS OF CHILD

Child's Full Name

Date of birth

Gender
MaleFemale

Type
Day PupilFull BoarderWeekly Boarder

Home Address

Address

Address 2

Town/City

County

Postcode

Country

Year of Entry

Year Group Entry

Nationality

For a child whose nationality is non-European

The School is a registered Tier 4 sponsor (via the Home Office's UK Visa and Immigration (UKVI) unit). Please tick this box if you may require the School to sponsor your child for visa/immigration purposes.

Yes

Details of the Tier 4 sponsorship arrangements will be sent to everyone who ticks this box. Providing this information does not guarantee that the School will sponsor your child or that the School is somehow obliged to. The School reserves full discretion over any decision whether or not to sponsor your child.

If you do not require the School to sponsor your child please confirm that your child has or will have a time-restricted or temporary visa in any other immigration category (for example as a dependent) and please email a copy to Registrar@luckleyhouseschool.org.

In the case of boarders whose parents will be resident abroad please give name, address and telephone number of a relative or other person in this country who will act as a Guardian and accept responsibility for the pupils during school holidays. A form of consent will be sent to the person nominated for signature before the pupils' entry to the school.

PREVIOUS SCHOOLS

Name and Addresses of Schools attended, with dates

PARENTS' DETAILS

Mother's Name

Mother's Profession

Home Address - if different from child

Home Phone

Business Phone

Email

Father's Name

Father's Profession

Home Address - if different from child

Home Phone

Business Phone

Email

ADDITIONAL INFORMATION

Names and ages of other children in the family

Any important information relating to home circumstances:

Please give brief details of any disability, medical condition or special needs - further details will then be requested separately:

FINANCIAL ASSISTANCE

Do you wish to apply for Bursary Assistance towards the fees?

YesNo

Bursary assistance may be offered subject to confirmation of financial status and is subject to annual review. A meeting with the Finance Bursar will be arranged for any applicant who ticks the box above.

SCHOLARSHIPS

Do you wish to apply for a scholarship in Sports / Drama / Art / Music? (Year 7, 9 and 12 entry only). All applicants are automatically assessed for an academic scholarship, based on the entrance tests.

SportsDramaArtMusic

Details of the arrangements for tests for scholarships will be sent to everyone who expresses an interest. Scholarships are awarded in recognition of excellence in a particular area, not for financial support. Applicants are welcome to apply for Bursaries as well as scholarships.:

DECLARATION

I/We (as the holders of parental responsibility) request that the name of the above-named child be registered as a prospective pupil of Luckley House School AND we agree to pay via BACs or cheque the non-refundable Registration Fee of £100.

Pay via BACs to LUCKLEY HOUSE SCHOOL Sort Code 60-24-21
Acc Number 67743811

By signing this Registration Form I/we understand, accept and agree that:

1. registration of our child as a prospective pupil does not secure our child a place at the School but does ensure that our child will be considered for selection as a pupil at the School;

2. if our child is offered a place at the School, such an offer will be subject to the School's terms and conditions for the provision of educational services, which will bind us (as the holders of parental responsibility for him/her) in the event (and from the moment) that we accept the place;

3. In order to comply with our responsibilities as a registered Tier 4 sponsor, you consent to us notifying and/or supplying information relating to you and/or your child's right to enter, reside and/or study in the United Kingdom to the United Kingdom Visas and Immigration (UKVI) unit of the Home Office and, in any event, if our child is offered a place at the School, such an offer will be subject to us confirming that our child has the right to enter, live and study in the United Kingdom;

4. if applicable, the School may request from our child's present school or educational institution: (a) information and a reference in respect of our child; and/or (b) information about any outstanding fees and/or supplemental charges;

5. the School may process any personal data about us (or either of us) and our child, including sensitive personal data about our child (such as medical details), for the purposes of:

(i) administering its list of prospective pupils;
(ii) its registration, selection and/or admission procedures, including as set out above; and
(iii) communicating with the parents of prospective pupils about the School and generally managing relationships between the School and its prospective pupils.

I/We agree

Name of person submitting this form

Date of Application

captcha