(for school use only)

If you wish your child to be registered for entry to The Gregg School, please complete and return this form with the £50.00 fee made payable to “The Gregg and St Winifred’s Schools Trust”

Section 1 - Child’s Details:

Surname / Date of Birth
Other names / Sex
Address / ------
------
------
Post code / Proposed admission date / Religion
Present school / Name of Head Teacher
Ethnic
Origin / Nationality

Section 2 - Parent/Guardian Details: Parent/Guardian 1:

Title / Mr/Mrs/Miss/Ms/Other
Initials / Surname
Relationship
to child / Occupation
Address
(If different from child’s) / ------
------
Post code / Home Number
Work No / Mobile number
Email

Parent/Guardian 2:

Title / Mr/Mrs/Miss/Ms/Other
Initials / Surname
Relationship to child / Occupation
Address
(If different from child’s) / ------
------
Post code / Home
Number
Work
Number / Mobile number
Email

Section 3 - Method of entry

I should like my child to be entered for the next Assessment for Scholarship, Bursary and General Entrance.

Signed: ...... Date: ......

Relationship to child: ......