Name generally used
Proposed date of admission (state term and year) *
Is English your child's first language? (If not, please state his/her first language) *
Phone Number *
For a child whose nationality is neither British nor Irish. The School is currently a registered Child Student Visa sponsor. Please tick this box if you may require the School to sponsor your child for visa/immigration purposes.
Details of Child Student Visa sponsorship arrangements will be sent to everyone who ticks this box. Ticking this box does not guarantee that the School will sponsor your child or that the School is obliged to do so. 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 permission to study in the United Kingdom under the Immigration Rules in any other immigration category (for example, as a dependant) and please provide a copy, if leave has already been granted. Please also provide any further relevant details..
PREVIOUS SCHOOLS - Names and addresses of schools attended, with dates
PARENTS' DETAILS - Parent 1
Home Address (if different from child)
PARENTS' DETAILS - Parent 2
Home Address (if different from child)
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:
Please provide details of health or medical condition, special educational need(s), disability or allergies that your child has. (Please send us the most recent Education Psychologist's report, if you have one, and any other relevant reports you may have) Please tick as appropriate:
Are there are any other circumstances relating to you or your child of which the School should be aware?
Are there any special arrangements that need to be made for your child to sit the entrance test?
FINANCIAL ASSISTANCE Do you wish to apply for means tested bursary assistance towards the fees? (applications must be received by 30 September of the preceding year)
Bursary assistance may be offered subject to confirmation of financial status and is subject to annual review. Details of arrangements for Bursaries will be sent to anyone who expresses an interest. An appointment with the Bursar or Finance Assistant will be arranged. The deadline for a Bursary application is 30 September of the year prior to entry.
DECLARATION: We (as the holders of parental responsibility for him/her) request that the name of the above-named child be registered as a prospective pupil of the School. We have arranged a bank transfer for 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 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 our child) in the event (and from the moment) that we accept the place; 3. [in order to comply with the School's responsibilities as a registered Child Student sponsor, the School may (if applicable) be required to notify and/or supply information relating to us and/or our child's right to enter, reside and/or study in the United Kingdom to United Kingdom Visas and Immigration (UKVI), a department within 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 information provided in this Registration Form is true, accurate, complete and not misleading. We will notify the School if there are any changes to the information provided to the School or our and/or our child’s circumstances; and [6.] [the School may, with reference to one or both of us: (i) undertake a credit check with a credit reference agency; (ii) require us to provide the School's Bursar with a bank reference and/or an up-to-date credit report (including a credit score); and/or (iii) ask us to demonstrate our ability to meet the School’s fees and supplemental charges
Name of person submitting this form *
Relationship to child *