Online Registration Form Pupil detailsPlease contact us should you wish to amend any of the below details in the future.First names (as on passport)*Surname of your child*Preferred name*Preferred pronounsGender* Female Male Other Date of birth:* Day Month Year Proposed year group of entry (e.g. Nursery, Reception):*Proposed year of entry (e.g. 2024):Type of place* Nursery Day Boarding Flexi-boarding Short stay boarding pupil (half a term) Short stay boarding pupil (full term) Short stay day pupil (full term) Weekly boarding pupil Nationality (as appears on passport):* British EEA or Swiss Other (please state) EEA or Swiss? (Please state nationality)*Other (please state nationality)*Image of your child’s passport / birth certificate*For safeguarding and compliance purposes, please upload a copy of your child’s passport or birth certificate. The image should be of the page containing the photo and personal information. JPG, PNG or PDF format pleaseAccepted file types: jpg, png, pdf, jpeg, Max. file size: 8 MB.Religion:Present school nameCurrent school address Street Address Address Line 2 City County Post code Is your child’s first language English?* Yes No If no, please state your child's first language*Has your child been educated in an English speaking school?* Yes No Date Started* MM slash DD slash YYYY Date Finished* MM slash DD slash YYYY The above information is required by the English as an Additional Language (EAL) Department.Which of the following would best describe the ethnic origin of your child? Please answer by choosing one of the options from the list below:*Please selectAsian or Asian British BangladeshiAsian or Asian British IndianAsian or Asian British PakistaniAny Other Asian BackgroundBlack or Black British AfricanAny Other Black BackgroundChineseAny Other Mixed BackgroundMixed/Dual Background White and AsianMixed/Dual Background White and Black CaribbeanWhite BritishWhite IrishAny Other White BackgroundAny Other Ethnic Background(This information is required by the Department for Education for the collection and analysis of statistical data. This information is not part of the selection process.)Additonal Pupil DetailsHave you registered your child at any other school? If yes, please state which school/s. Yes No Please state:Do you or your family have any connections with St Andrew’s Prep or Eastbourne College? If yes, please give details Yes No Please state:If appropriate, please give an outline of your child’s artistic, dramatic, musical or sporting skills or experience.Parental detailsParent 1* First Last Title* Mr Dr Mrs Ms Miss Other Other*Address* Address Line 1 Address Line 2 City County Post Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Occupation*If self employed or an owner of a company, please provide the company nameNationality*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.YemenZambiaZimbabweDaytime telephone*Work telephone:Mobile telephone:Email address:* Parent 2 First Last Title Mr Dr Mrs Miss Ms Other OtherAddress (if different from first parent): Address Line 1 Address Line 2 City County Post Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Occupation:If self employed or an owner of a company, please provide the company nameNationality: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.YemenZambiaZimbabweDaytime telephone:Work telephone:Mobile telephone:Email address If the two parents are living at different addresses, please state who is the prime contactPlease indicate below the marital status between Parent 1 and Parent 2*Please SelectSingleMarried (to each other)Partners (not married)SeparatedDivorcedWidowedCivil PartnershipOtherOther (Please state)Full name of any other person with parental responsibilityShould there only be one parental contact and/or one or more parents above are not biologically related to the child, please provide a brief explanation below.Please confirm the full names with whom the child is mainly resident:*Should you know at this stage that a third party will be supporting with the payment of the school fees, please provide more information below. This is asked so that we can ensure you are sent the appropriate paperwork in the admissions process.MEDICAL AND LEARNING SUPPORTAs part of the admissions process, please may we ask you to disclose any medical issues, learning difficulties or special educational needs of your child, including any behavioural, emotional and/or social difficulties. This will help the School to consider any reasonable adjustments that might be necessary to best support your child. Please make us aware of any reports you may have including medical reports, assessments, educational psychologists reports, statements of special educational needs, learning plans, occupational therapist reports, speech and language reports or any other reports which you may deem relevant. The School will require sight of these documents, which will be treated as confidential information. I agree to the Terms of Service If you believe your child has a disability as set out in section 6 of the Equality Act 2010, please share further detail belowDoes your child have any medical conditions?* Yes No Further details about medical conditions*Does your child have any learning support requirements?* Yes No Further details about learning support requirements*First Signature*Relationship to the child*Second SignatureRelationship to the childDate of Signature* DD slash MM slash YYYY We (as the holders of parental responsibility) request that the above-named child be registered as a prospective pupil of the School. By signing the 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) in the event (and from the moment) that we accept the place; 3. 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; 4. The School may process any personal data about us and our child, including sensitive personal data about our child (such as medical details), 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. Payment details Payment details for registration fee of £100 There are a number of ways to pay the registration fee: You can enclose a cheque payable to Eastbourne College. If you wish to make an electronic transfer, please clearly state the child’s name on the transaction document to assist the Accounts Department with identification. Electronic bank transfer information for payment of £100 registration fee is listed below. Please clearly state the child’s name on your transfer document as the reference number. Bank Details for transferring funds: Account Name: Eastbourne College (Incorporated) Bank Address: Lloyds Bank, 104 Terminus Road, Eastbourne, East Sussex BN21 3AH Account No: 00058400 Sort Code: 30 92 86 Swift Code: LOYDGB21092 IBAN Code: GB37LOYD30928600058400 Alternatively, you are welcome to call the Accounts Department 01323 451925 and pay by debit or credit card over the phone. Please read and agree to our statement on data use and privacy*Eastbourne College and St Andrew’s Prep (Eastbourne College Incorporated) act as Data Controllers in accordance with the Data Protection Act 2018 (DPA 2018). For further information on UK data protection legislation, please visit https://ico.org.uk. By submitting your personal data through this form, you consent to us using the provided details to respond to your enquiry. Your data will be securely backed up and accessible only to authorised personnel. Should you wish to have your data removed, please contact us at support@thewebkitchen.co.uk. Further details about your privacy rights can be found in the policies section linked at the bottom of this page. I accept St. Andrew's Prep registration fee Price: Credit CardCard Details Cardholder Name Total £ 0.00 How did you hear about St Andrew's Prep?* Advertising - Buses Advertising - Door drop Advertising - Magazine / Newspaper Advertising - Online / Social Advertising - Roadside (billboards) Agency referral Best Schools Website Careers Fair Event (not open event) Exhibition Overseas Good School Guide Website Nursery School OFSTED Website Old Androvian Connection Old Eastbournian Connection Online search Open Event Other Prep school referral Prospectus Recommendation Sibling Other (please state) We'd love to know how you heard about St Andrew's PrepConsent Do you consent to receive further information about Eastbourne College Incorporated, including activities and events relevant to you? (We will never pass on or sell your data to any third party).
