Online Registration Form Children being registered*1234First ChildPupil detailsSurname of your child:*First names:*Preferred name for use at school:*Gender*FemaleMaleDate of birth:* DD MM YYYY Type of place:*Baby RoomNurseryPre-PrepPrep (Day)Boarding (Full)Boarding (Weekly)Transfer from Nursery to Pre-Prep: Please tick if you would like your child to transfer from Nursery to Pre-Prep Proposed year group:*Length of stay:Only in the case of a short stay pupilPreferred start date:*Nationality*Religion:Present school:*Present school address:LanguageThe following information is required by the English as an Additional Language (EAL) Department.Is your child’s first language English?*YesNoChild's first languageLevel of English:BeginnerAdvanced BeginnerIntermediateAdvancedHas your child been educated in an English speaking school?YesNoDate started:* Date Format: DD slash MM slash YYYY Date ended:* Date Format: DD slash MM slash YYYY Ethnic originWhich of the following would best describe the ethnic origin of your child?Please answer by ticking one box from the list below: Asian or Asian British Bangladeshi Asian or Asian British Indian Asian or Asian British Pakistani Any Other Asian Background Black or Black British African Black or Black British Caribbean Any Other Black Background Chinese Any Other Mixed Background Mixed/Dual Background White and Asian Mixed/Dual Background White and Black African Mixed/Dual Background White and Black Caribbean White British White Irish Any Other White Background Any Other Ethnic Background Additional pupil detailsHave you registered your child at any other school? If yes, please state which ones:Do you or your family have any connections with St Andrew’s Prep or Eastbourne College? (If yes, please give details):Please select one or more of your child's particular interests in school Art Drama Music Science Sport Academic Languages Please select one or more of your child's particular interests outside of school Art Drama Music Sport Science Languages Nature Academic Cooking Second childSecond ChildPupil detailsSurname of your child:*First names:*Preferred name for use at school:*Gender*FemaleMaleDate of birth:* DD MM YYYY Type of place:*Baby RoomNurseryPre-PrepPrep (Day)Boarding (Full)Boarding (Weekly)Transfer from Nursery to Pre-Prep: Please tick if you would like your child to transfer from Nursery to Pre-Prep Proposed year group:*Length of stay:Only in the case of a short stay pupilNationality*Religion:Present school:*Present school address:LanguageThe following information is required by the English as an Additional Language (EAL) Department.Is your child’s first language English?YesNoChild's first languageLevel of English:BeginnerAdvanced BeginnerIntermediateAdvancedHas your child been educated in an English speaking school?YesNoDate started:* Date Format: DD slash MM slash YYYY Date ended:* Date Format: DD slash MM slash YYYY Ethnic originWhich of the following would best describe the ethnic origin of your child?Please answer by ticking one box from the list below: Asian or Asian British Bangladeshi Asian or Asian British Indian Asian or Asian British Pakistani Any Other Asian Background Black or Black British African Black or Black British Caribbean Any Other Black Background Chinese Any Other Mixed Background Mixed/Dual Background White and Asian Mixed/Dual Background White and Black African Mixed/Dual Background White and Black Caribbean White British White Irish Any Other White Background Any Other Ethnic Background Additional pupil detailsHave you registered your child at any other school? If yes, please state which ones:Do you or your family have any connections with St Andrew’s Prep or Eastbourne College? (If yes, please give details):Please select one or more of your child's particular interests in school Art Drama Music Science Sport Academic Languages Please select one or more of your child's particular interests outside of school Art Drama Music Sport Science Languages Nature Academic Cooking Third Child SectionThird ChildPupil detailsSurname of your child:*First names:*Preferred name for use at school:*Gender*FemaleMaleDate of birth:* DD MM YYYY Type of place:*Baby RoomNurseryPre-PrepPrep (Day)Boarding (Full)Boarding (Weekly)Transfer from Nursery to Pre-Prep: Please tick if you would like your child to transfer from Nursery to Pre-Prep Proposed year group:*Length of stay:Only in the case of a short stay pupilNationality*Religion:Present school:*Present school address:LanguageThe following information is required by the English as an Additional Language (EAL) Department.Is your child’s first language English?YesNoChild's first languageLevel of English:BeginnerAdvanced BeginnerIntermediateAdvancedHas your child been educated in an English speaking school?YesNoDate started:* Date Format: DD slash MM slash YYYY Date ended:* Date Format: DD slash MM slash YYYY Ethnic originWhich of the following would best describe the ethnic origin of your child?Please answer by ticking one box from the list below: Asian or Asian British Bangladeshi Asian or Asian British Indian Asian or Asian British Pakistani Any Other Asian Background Black or Black British African Black or Black British Caribbean Any Other Black Background Chinese Any Other Mixed Background Mixed/Dual Background White and Asian Mixed/Dual Background White and Black African Mixed/Dual Background White and Black Caribbean White British White Irish Any Other White Background Any Other Ethnic Background Additional pupil detailsHave you registered your child at any other school? If yes, please state which ones:Do you or your family have any connections with St Andrew’s Prep or Eastbourne College? (If yes, please give details):Please give an outline of your child’s achievements in school: artistic, dramatic, musical or sporting etc.Please give an outline of your child’s achievements, hobbies and interests out of school:Fourth childFourth ChildPupil detailsSurname of your child:*First names:*Preferred name for use at school:*Gender*FemaleMaleDate of birth:* DD MM YYYY Type of place:*Baby RoomNurseryPre-PrepPrep (Day)Boarding (Full)Boarding (Weekly)Transfer from Nursery to Pre-Prep: Please tick if you would like your child to transfer from Nursery to Pre-Prep Proposed year group:*Length of stay:Only in the case of a short stay pupilNationality*Religion:Present school:*Present school address:LanguageThe following information is required by the English as an Additional Language (EAL) Department.Is your child’s first language English?YesNoChild's first languageLevel of English:BeginnerAdvanced BeginnerIntermediateAdvancedHas your child been educated in an English speaking school?YesNoDate started:* Date Format: DD slash MM slash YYYY Date ended:* Date Format: DD slash MM slash YYYY Ethnic originWhich of the following would best describe the ethnic origin of your child?Please answer by ticking one box from the list below: Asian or Asian British Bangladeshi Asian or Asian British Indian Asian or Asian British Pakistani Any Other Asian Background Black or Black British African Black or Black British Caribbean Any Other Black Background Chinese Any Other Mixed Background Mixed/Dual Background White and Asian Mixed/Dual Background White and Black African Mixed/Dual Background White and Black Caribbean White British White Irish Any Other White Background Any Other Ethnic Background Additional pupil detailsHave you registered your child at any other school? If yes, please state which ones:Do you or your family have any connections with St Andrew’s Prep or Eastbourne College? (If yes, please give details):Please give an outline of your child’s achievements in school: artistic, dramatic, musical or sporting etc.Please give an outline of your child’s achievements, hobbies and interests out of school:SpacingFirst parent's detailsFull name of first parent:*Title:*Please selectMrsDrMsOtherMrOther title:Address Street Address City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Occupation:Nationality:Country of residence:AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweIs this the pupil's residential address?*YesNoHome telephone:*Work telephone:Mobile telephone:Email address: Second parent's detailsFull name of second parent:Title:Please selectMrDrSirOtherMrOther title:Address (if different from first parent): Street Address City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Occupation:Nationality:Country of residence:AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweHome telephone:Work telephone:Mobile telephone:Email address: Parental responsibilityIf you have parental responsibility for the child in a capacity other than as a parent of the child, please state your relationship to the child.MEDICAL AND LEARNING SUPPORTConfidential Declaration: The School is required to provide you with the opportunity to disclose any medical issues, learning difficulties or special educational needs of your child, including any behavioural, emotional and/or social difficulties. This information will help the School to consider any adjustments that might be needed as part of the School’s admissions process. Please answer questions below and provide us with as much information as possible, such as: Medical reports Assessments Educational Psychologists reports Statements of Special Educational Needs Learning Plans Occupational Therapist reports Speech and Language reports Are there any special medical circumstances, including any disabilities, that we should be aware of?YesNoMedical circumstances:Please provide us with details, In addition you may also enclose any supporting documents below.Does your child have any learning support requirements?YesNoLearning Support requirements:Supporting documents:PDF, JPG and PNG are accepted. Drop files here or Accepted file types: pdf, jpg, png. Declaration We request that our child named above be registered as a prospective pupil. (A cheque or electronic payment details for the non-refundable registration fee of £75 is enclosed/completed). We understand that the Terms and Conditions of the School will undergo reasonable changes from time to time as circumstances require and will apply in all our dealings with the School. We also understand that the School (through the Headmaster as the person responsible) may obtain, process and hold personal information about our child, including confidential information such as medical details, and we consent to this for the purposes of assessment and, if a place is later offered, in order to safeguard and promote the welfare of our child. Please note that early registration is recommended. Registrations will be considered in the order they are received. Offers of places are subject to availability and the admission requirements of the School at the time. Copies of the current Admissions Policy and Terms and Conditions can be found on our website: www.standrewsprep.co.uk Payment details Payment details for Registration Fee of £75 There are a number of ways to pay the registration fee: You can enclose a cheque payable to St Andrew’s School or if you wish to make an electronic transfer payment for the £75 registration fee, please clearly state the child’s name on the transaction document to assist the Accounts Department with identification. Our bank details are below. Your paymentI have made a bank transfer payment of £75I enclose a cheque payable to St Andrew’s School Bank Details for transferring funds: Account Name: Eastbourne College (Incorporated) trading as St Andrews School Bank Address: Lloyds Bank, 104 Terminus Road, Eastbourne, East Sussex BN21 3AH Account No: 59837160 Sort Code: 30-92-86 Swift Code: LOYDGB21092 IBAN Code: GB70LOYD30928659837160 Statistical dataHow did you hear about St Andrew’s Prep? Website Social media Press Advertisement Recommended Family/friend Agency Open event Sibling attended Current school Eastbourne College OA/OE connection Other We'd love to know how you heard about St Andrew's Prep:In submitting your personal data via this form, you consent to being contacted via the details provided so that your enquiry can be responded to. A backup of your data will be held, but only authorised individuals will be able to access your data. If you would like your data to be removed, please email support@thewebkitchen.co.uk. I agree
