Registration Form

STEP 1 OF 4
Candidate’s Photograph
Accepted file types: jpg, gif, png, Max. file size: 3 MB.
Proposed year of entry*
At Age*
Daughter’s Surname*
Forenames*
Date of Birth*
Ethnicity
If English is not the primary language spoken at home, please state below.
Primary language

STEP 2 OF 4
- Parent One
- Title*
- Forenames*
- Surname*
- Address*
- Mobile*
- Home Phone
- Work Phone
- Email*
- Profession/Occupation
- Parent two
- Title
- Forenames
- Surname
- Address
- Mobile
- Home Phone
- Work Phone
- Email
- Profession/Occupation
- Please state with which parent(s) the applicant lives:*
  Both
  Mother
  Father

STEP 3 OF 4
Daughter’s Present School:
- School Name*
- Name of Head*
- School Address*
- Date of Entry*
- Telephone
- Email
- Please give names, ages and schools of all siblings
- Previous connection (if any) with St Mary’s School
Fee Assistance
- Do you wish to be considered for Fee assistance?*
  Yes
  No
Special Requirements:
St Mary’s School is committed to helping their pupils to overcome any barriers to learning which they may encounter. With this is mind, we would be grateful if you could provide details below and also include an Educational Psychologist Report or similar if available.
- If your daughter has any disabilities in relation to her participation in our entrance procedures: (if none type none)*
- If your daughter has any food allergies/medical conditions: (if none type none)*

STEP 4 OF 4
Declaration:
By submitting this form, we request that our daughter is registered as a prospective pupil of St Mary’s School. We understand there is an admission procedure and once this has been completed offers will be made by the school. The Terms and Conditions of Admission will be sent to successful applicants.

We acknowledge that a non-refundable registration fee of £100 should be sent to the school via cheque or bank transfer to:-

Royal Bank of Scotland
Sort Code – 16 24 48
Account Number – 10082964
Reference – Daughter’s Name

Please note that St Mary’s School will not be changing these details nor do we use alternate accounts. If you are ever requested to make a payment to an account different to these, please contact the Bursar (by phone) for confirmation.

I / We agree that St Mary’s School may contact our daughter’s present school for a reference.

I / We understand that the personal data provided above will be processed for the purposes set out in St Mary’s School’s Privacy Notice.

For the purposes of data protection law, St Mary’s School is the data controller for any personal data you supply to us. This personal data will be processed in accordance with data protection law, only used for the purpose(s) for which you have supplied it to us and our Privacy Notice, and (except where you have consented) only shared with third parties where it is necessary for us to do so and the law allows it. If we share your personal information with another organisation (eg another school, ISI, DfE or another government department etc) this will be to help us act upon what you have told us or because these organisations need to be made aware of what you are telling us (in order for them to act upon it).

Please let us know if you do not wish us to share your information with relevant organisations, but also be aware that we might not be able to act upon your correspondence if we do not share it. It is also important to note that, in certain circumstances, we might have a legal obligation to share the information that you have supplied to us with other organisations.

I / We confirm, by submitting this form that the information we have provided is, to the best of our knowledge true.

Registration Form

STEP 1 OF 4

STEP 2 OF 4

Parent One

Parent two

STEP 3 OF 4

Daughter’s Present School:

Fee Assistance

Special Requirements:

STEP 4 OF 4

Declaration: