Register for a Place

Are you registering for a boarding or day place? BoardingDay

Proposed Year of Entry

Proposed Term of Entry Michaelmas (Autumn)Lent (Spring)Summer

Pupil Surname

Pupil First Name(s)

Pupil Preferred First Name (if applicable)

Home Address

Phone Number (Home)

Pupil Date of Birth

Pupil Age at Time of Entry

Pupil Nationality

Pupil Religious Denomination

Present School

Present School Address

Title (Parent 1)

Surname (Parent 1)

First Name(s) (Parent 1)

Occupation (Parent 1)

Phone Number Parent 1 (Mobile/Work)

Email Address (Parent 1)

Title (Parent 2)

Surname (Parent 2)

First Name(s) (Parent 2)

Occupation (Parent 2)

Phone Number Parent 2 (Mobile/Office)

Email Address (Parent 2)

Invoice Email Address

Where did you hear about us? -- Select --Friends or familySibling attended the schoolFormer pupilMember of staffSearch engineSocial mediaOnline listingSchool recommendationSpecialist recommendationMagazine/pressOther (Please state below)

Other

Full Name

Email

Telephone

Address

Current Year Group -- Select --Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11

Message

I give permission for Bruern Abbey School to use photographs or videos of the child mentioned above for marketing purposes.

By submitting this form, I/we confirm that I/we have made a full disclosure to Bruern Abbey of any previous reports that have been carried out for my/our son (e.g. Speech and Language, Occupational Therapy, Behavioural Optometrist, mental health professionals, existence of an EHCP etc). I/We have also made full disclosure of any breaks in my/our child’s education where he has been home-schooled. If there is any further information that needs to be shared I/we will email this to admissions@bruernabbey.org immediately.

The information you are about to submit will be used to effectively handle your enquiry in accordance with the School’s admissions process. This may include email, phone and postal correspondence. We promise to treat your personal details with the utmost care and will never share or sell your data to third parties.

I am happy for my data to be processed.