Apply for a Place

To apply for a place at Luckley House School, please complete this Registration Form and submit the registration fee of £150 for UK applicants and £250 for overseas applicants. . We will send you our Bank details on receipt of your application.

Child's Name *

First

Last

Name generally used

Date of Birth *

Copy of Passport or Birth Certificate *

Click or drag a file to this area to upload.

Gender *

Boy
Girl

Type of Place *

Day
Full Boarding
Weekly Boarding
Flexi-boarding
Short Term Boarding (one term)

Proposed date of admission (year) *

If short term boarding, which term?

Year Group Entry *

Year 7
Year 9
Year 12
Other

If Other, please state Year group

Is English your child's first language? (If not, please state his/her first language) *

Nationality *

Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone Number *

Email *

For a child whose nationality is neither British nor Irish. The School is currently a registered Child Student Visa sponsor. Please tick this box if you may require the School to sponsor your child for visa/immigration purposes.

Details of Child Student Visa sponsorship arrangements will be sent to everyone who ticks this box. Ticking this box does not guarantee that the School will sponsor your child or that the School is obliged to do so. The School reserves full discretion over any decision whether or not to sponsor your child. If you do not require the School to sponsor your child please confirm that your child has or will have permission to study in the United Kingdom under the Immigration Rules in any other immigration category (for example, as a dependant) and please provide a copy, if leave has already been granted. Please also provide any further relevant details..

PREVIOUS SCHOOLS - Names and addresses of schools attended, with dates

PARENTS' DETAILS - Parent 1

Name *

First

Last

Occupation

Home Address (if different from child)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email *

PARENTS' DETAILS - Parent 2

Name

First

Last

Occupation

Home Address (if different from child)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email *

Please mention here the names of any other members of the family attending the School or registered for entry, or any other connection with the School:

Other children

Please provide details of health or medical conditions, special educational need(s), disability or allergies that your child has. (Please send us the most recent Education Psychologist's report, if you have one, and any other specialist reports you may have). Please tick as appropriate: *

ADHD
ALLERGIES (Please specify)
ASPERGERS SYNDROME
AUTISM
DYSLEXIA
DYSPRAXIA
VISUAL IMPAIRMENT
HEARING IMPAIRMENT
NONE

Other:

Are there are any other circumstances relating to you or your child of which the School should be aware?

Are there any special arrangements that need to be made for your child to sit the entrance test?

FINANCIAL ASSISTANCE Do you wish to apply for means tested bursary assistance towards the fees? Bursary assistance may be offered subject to confirmation of financial status and is subject to annual review. Details of arrangements for Bursaries will be sent to anyone who expresses an interest. Applications must be received by 30 September of the preceding year. *

Would you like to make an appointment with the Bursar or Finance Manager?

Please tick if an appointment is required.

DECLARATION: We (as the holders of parental responsibility for him/her) request that the name of the above-named child be registered as a prospective pupil of the School. We have arranged a bank transfer for the non-refundable Registration Fee of £150 (£250 for overseas applicants). By signing this Registration Form we understand, accept and agree 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. if 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 (as the holders of parental responsibility for our child) in the event (and from the moment) that we accept the place; 3. [in order to comply with the School's responsibilities as a registered Child Student sponsor, the School may (if applicable) be required to notify and/or supply information relating to us and/or our child's right to enter, reside and/or study in the United Kingdom to United Kingdom Visas and Immigration (UKVI), a department within the Home Office and, in any event, ]if our child is offered a place at the School, such an offer will be subject to us confirming that our child has the right to enter, live and study in the United Kingdom; 4. if applicable, the School may request from our child's present school or educational institution: (a) information and a reference in respect of our child; and/or (b) information about any outstanding fees and/or supplemental charges; 5. the information provided in this Registration Form is true, accurate, complete and not misleading. We will notify the School if there are any changes to the information provided to the School or our and/or our child’s circumstances; and [6.] [the School may, with reference to one or both of us: (i) undertake a credit check with the School's Bursar with a bank reference and/or an up-to-date credit report (including a credit score); and/or (iii) ask us to demonstrate our ability to meet the School’s fees as a credit reference agency; (ii) require us to provide supplemental charges

Name of person submitting this form *

Relationship to child *

Date of submission

HOW WE MAY USE PERSONAL INFORMATION: The School may process personal data about you (or either of you) and your child, including sensitive personal data about your child (such as medical details) in accordance with data protection law for the purposes of: (i) administering its list of prospective pupils; (ii) its registration, selection and/or admission procedures, including as set out above; and (iii) communicating with the parents of prospective pupils about the School and generally managing relationships between the School and its prospective pupils. Even if your child is not offered a place at the School, we retain information about prospective pupils and their parents for a period of time as set out in our Privacy Policy. Please let the Bursar know if you have any questions or concerns about this. Further information about how the School processes personal data is set out in the School's Privacy Notice, which is on the School's website and is otherwise available from the School at any time upon request

GDPR Agreement *