Registration Form

Elmhurst School for Boys

Boy's Details

Parents' / Guardians' Details

Father / Guardian

Mother / Guardian

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Emergencies

Names and emergency telephone numbers of two relatives / friends if parents cannot be contacted

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Declaration

We request that the name of the above-named child be registered as a prospective pupil AND agree to pay the registration fee of £50 (payment details at the bottom of the page).

We understand 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. The School may process personal data about our child, including sensitive personal data such as medical details, for the purpose of administering its list of prospective pupils and administering its selection procedures and we consent to the processing of our child’s personal data (including sensitive personal data) for these purposes;

3. In the event that 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 in the event that we accept the place.

This form requires the signature of each of those with parental responsibility.

First Signature

Second Signature

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.

You can read our Privacy Policy, here.

This form should be completed and signed by the Parent(s)/Guardian(s) accepting responsibility for the payment of fees and a registration fee of £50 should be paid via BACS using the following account details, to accompany your application.

Sort code: 20-95-87
Account Number: 23640442

Please use pupil’s name as the reference when making payment. If you would prefer to pay by another method, please contact the School Office.
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44 - 48 South Park Hill Road, South Croydon, Surrey CR2 7DW

T: 020 8688 0661

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