International Student Registration Form

Student's first language*
If English is not your child's first language, how many years have they spent learning English?*
Language of instruction at present school*
Name and address of present school*
How many years has your child been at their present school*
Name of Headteacher at present school *
Please select which course your child will be applying for*
Please specify the year of intended entry*
Please specify the month of intended entry*
Please specify the month of intended entry
Please specify the month of intended entry
Please specify the month of intended entry
Please specify the month of intended entry

Biological Parent/Legal Guardian 2 details:

If the student is no longer in contact with biological parent 2, please provide an additional contact.
Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*

Confirmation Emailexample@example.com
Mobile Number*
Please include dialling code
Phone Number
Please include dialling code
Work Number
Please include dialling code
Mobile Number
Phone Number
Work Number
Occupation*
Does the student live with Parent/Guardian 2?*

YesNo
Please indicate relation to student*

DECLARATION

We agree to accept the School’s Standard Terms and Conditions. The non-returnable registration fee of £100.00 (day student) or £225.00 (boarding student) payable to Rossall School is enclosed. We certify that the above named student has not been dismissed or removed from any School or college on account of misconduct. We understand that registration does not constitute the offer of a place at the School.
Parent/Guardian 1 Signature*
Date*
Parent/Guardian 2 Signature*
Date*

Would you like to pay the Registration Fee now? (If you would like to pay the registration fee later, please leave card details blank on the next page and press submit)*

YesNo

Payment

Registration Fee - This is in addition to the tuition fees and is non-refundable.

Organisations submitting this form on behalf of the parents should complete the section below:
Name of Organisation
Contact Name
Position
Email

Confirmation Emailexample@example.com
We confirm that the information supplied is true, to the best of our knowledge and that we have explained the above requirements regarding notice of withdrawal, to the parents.
Signed
Date
Please click the 'submit' button below, to submit your application to Rossall.

Registered Charity No. 526685 Authorised to sign on behalf of the above organisation

Please click the button below to submit your application.

If you would like to pay the registration fee later, please leave card details blank and press submit.

My Products

Day Student registration fee

£100.00 Quantity

International/Non-UK Resident Boarding student registration fee

£225.00 Quantity

Total

£0.00