Registration Form

Red Rose School, St Annes on Sea, FY8 2NQ

Name of Entrant..................................................................................................................................
(Please print SURNAME in CAPITALS, followed by First Names underlining the name by which usually known)

Home Address.....................................................................................................................................
........................................................................................................................................................

Telephone Number(s): Home..................................................

Father's Work.................................….Mobile:…………………….

Mother's Work...............................… Mobile:……….…………….

Date of Birth..../.../... Nationality......................................................

Age at Time of Entry......Years......Months

Name of Parent/Guardian........................................................................................................................

Name and Address of person with Parental Responsibility if different from above................................................
.........................................................................................................................................................

Father's Occupation........................................... Mother's Occupation....................................................

Child's Religious Denomination..............................................................................................................

Term of Entry Desired..Spring/Summer/Winter

Name of Present School.......................................................................................................................

Has the child had a Psychological Assessment within last 2 years? YES/NO
(If Yes, please enclose a copy of this report)

Name and Address of person responsible for payment of accounts (if different from above).............................
......................................................................................................................................................
......................................................................................................................................................

This form should be completed and sent to the Principal, together with the current Registration Fee (see Current Fees) which is non-returnable and the Acceptance Fee. Cheques should be made payable to The Red Rose School.

I hereby apply for the admission of my son/daughter as a day pupil to The Red Rose School. If the application is accepted, I agree to the giving of a full term's notice in writing of the withdrawal of my child or the payment of a full term's fees in lieu. I agree that no remission fees can be made for illness or any other cause either for the whole or part of the term.

Signed................................................. Dated..............................................