MT Prep Pupil Information Card

In this section:

Please use the form below to tell us about your son.

MT Prep Pupil Information Card

PAGE1

FULL NAME

Address 1

Address 2

Address 3

Address 4

Postcode

Date of Birth (dd-mm-yyyy)

Place of Birth

Nationality

Languages spoken at home

Religion

First language spoken

Who has parental responsibility for your child? (Usually named parent on birth certificate)

Who has legal contact for the child? (Usually both parents unless a court order has declared otherwise)

Email (Mother) /bills will be emailed to this address*

Email (Father) /bills will be emailed to this address*

Home Tel. No.

Mother's Title

Mother's Full Name

Mother's Work Tel. No.

Mother's Mobile Tel. No.

Mother's Occupation

Mother's Place of Work / Address

Father's Title

Father's Full Name*

Father's Work Tel. No.

Father's Mobile Tel. No.

Father's Occupation

Father's Place of Work / Address

1st contact tel. no. in an emergency

1st emergency Relationship

2nd contact tel. no. in an emergency

2nd emergency Relationship

Any other contact tel. no.

Any other Relationship

Please mention names of any other members of the family attending the school or registered with the school

Please disclose any information of which the school should be aware concerning the pupil. e.g. Family bereavement, separation, etc.

PAGE2

Please indicate your son's ethnic origin

Name and address of present School/Nursery

Date of attendance

Name of Head Teacher

Please outline any of your child's artistic, dramatic, musical or sporting skills or experience (if applicable)

Please give an outline of your child's other hobbies or interests (if applicable)

How did you hear about the School (Local Reputation, Friend, Advertisement, Other)

Please use this text box togive us more information should you require

Don't fill this field!

Request a visit

Request a Prospectus

OPEN MORNING