ST ANDREW'S SCHOOL ENTRY FORM
To register your child, please print this form and send it to: St Andrew's Montessori School, High Elms Lane, Watford, WD25 0JX together with the Registration Fee of £55.00.
Office use only
 
£55.00 Registration Fee Paid
 
Father's/Guardian's Surname:   Father's/Guardian/s Forename:  
Mother's/Guardian's Surname:   Mother's/Guardian's Forename:  
Home Address:  
 
Email Address:  
Child's First Names:   Preferred name:  
Child's Surname:   Male   Female  
Date of Birth: (DD/MM/YY)   Start Date:  
I expect my child to remain in the school until age: (Please tick) 3   5   7   12  
Child's Religious denomination:   Ethnic Group:  
Dietary Restrictions:  
Child's Medical History:  
Immunisation Details: Measles/Mumps/Rubella   Polio   Tetanus  
  Diphtheria   Whooping Cough    

Please give details of other health issues or allergies:

 

Ages of siblings: Brothers   Sisters  
How would you like your letters to be addressed? Mr & Mrs   Mrs   Mr   Ms   Miss   Other  
Home telephone number:  
Father's business telephone:   Mother's business telephone:  
Father's mobile telephone:   Mother's mobile telephone:  

Relative or friend's number for emergencies:
Please state relationship to child:

  Who should be contacted first i.e. mother/father  
Previous school, nursery or playgroup:  
Address & telephone number:  
How did you first hear about the school?  
Family Doctor:   Doctor's telephone number:  
Doctor's Address:  
Health visitor:   Health visitor's telephone number:  
Kindly enclose a non-refundable registration fee of £55.00 with this application form.
I give permission for my child to be transported by car or coach on outings etc. Yes   No  
I give permission for my child to be taken to hospital in case of emergency. Yes   No  
I give permission for my child's image to be used for the prospectus, my first day at school, the website and/or promotional material for the school. Yes   No  
I/We jointly and severally agree to abide by the conditions and rules in the conditions of admission of St Andrew's Montessori School (which are updated regularly) and with the ethos of the school. I/We accept that under this agreement we are liable for all school fees and extras, including any interest incurred. The updated conditions of admission can be found on our website at: www.standrewsmontessori.co.uk
Mother's/Guardian's signature  
Father's/Guardian's signature  
Date:
Name of person or organisation responsible for paying school fees:  
N.B. This form must be signed by both parents or legal guardians. In the case of a single parent, the person who has care and control of the fees must sign this form.