Year 12 Boarding Registration Form

Farringtons School Boarding Registration Form - Year 12
The Registration Form must be completed and submitted with the Registration Fee of a £120 (incl. VAT) before a child can be considered for a place in the School. The Registration Fee is non-refundable. On acceptance of a Boarding place, parents are required to pay a deposit of £13,880.00

Parents are liable for School Fees when a place has been accepted and an Acceptance Form is completed.

The deposit is returned after the pupil leaves the School. If a pupil accepts a place but does not join the School the deposit is retained and is non-refundable.
Please enter the email address for the person completing this form so that a confirmation email can be sent:*
example@example.com
Your child's details
Child's Name*

First NamePreferred First NameLast Name
MaleFemale
Your child's date of birth*

DayMonthYear
Double-click to edit this text..
BritishOther
Please specify nationality if not British
YesNo
Year Group applying for:*
Year of Entry*
Termly/Full BoardingWeekly Boarding
Current Education

Please give details below - we request academic references to support all applications to the School.
Being home-schooled
Name of Head Teacher/Principal

TitleFirst NameLast Name
Current School Details

Name of School

Street

Town/City (and country if not in UK)

Post Code
YesNo
School email address (reference request will be sent automatically)*
English as an Additional Language

(this section only to be completed for applicants whose first language is NOT English)
YesNot applicable (English is my child's first language)
Please indicate the number of years that English has been studied:
Details of courses attended and/or certificates gained (eg. IELTS, PET, IGCSE):
Has your child attended an English Medium School, if so, for how many years?
Do you have any current or previous connections with Farringtons School i.e. sibling, alumni?
Parents Details
Parent 1 *

TItleFirst NameLast Name
Relationship to Child*
Eg, mother, father, step-parent, guardian, grand-parent
Profession*
Email Address*
example@example.com
Phone Number*
Home Address*

Street Address

Street Address Line 2

Town (and Country if not UK)

Post Code
Parent 2

TitleFirst NameLast Name
Relationship to Child
Eg, mother, father, step-parent, guardian, grand-parent
Profession
Email address
example@example.com
Phone Number
Home Address (only complete if different from address above)

Street Address

Street Address Line 2

Town (and Country if not UK)State / Province

Post Code
MotherFatherOther - please email the School to give further details
Do you have an existing connection to the School (eg. a child already on roll, alumni etc)? Please give details below:
Examinations to be taken prior to Sixth Form study

Please specify the subject and level eg. English Language GCSE, Business BTEC
Subject 1 *
Predicted Grade*
Subject 2 *
Predicted Grade*
Subject 3 *
Predicted Grade*
Subject 4 *
Predicted Grade*
Subject 5 *
Predicted Grade*
Subject 6 *
Predicted Grade*
Subject 7 *
Predicted Grade*
Subject 8
Predicted Grade
Subject 9
Predicted Grade
Subject 10
Predicted Grade
Subject Choices for Sixth Form Study

Please indicate below your initial choice of A Level and BTEC subjects (in order of preference). Please see our prospectus for information on the subjects offered.
Preference 1
Preference 2
Preference 3
Preference 4
Preference 5
Scholarships

Farringtons offers a number of Academic Scholarships for entry to the Sixth Form. These are awarded on the basis of predicted GCSE grades, a report from the candidate's current school, examination and interview. Students sit an Academic Scholarship Examination in January each year. Students wishing to apply for the Academic Scholarship must submit their application by the published deadline in early December. Please indicate your interest in applying for this below.
Academic Scholarship
Personal Statement (to be completed by the prospective student). This should be approximately 200 words in length. Please include details of your academic and social interests and your ambitions for the future.

0/250
Educational Support and Medical Details
Yes - please give details belowNo - I confirm that my child has no specific medical conditions or allergies
Details of specific medical conditions or allergies:
Yes - please give details belowNo - I confirm that my child has no learning support/SEN needs
Please give details of any learning support that your child receives (and give details of any diagnosis of special educational need such as dyslexia, dyscalculia, ADHD, ASD, SALT/speech and language delay).
If applicable, please upload a copy of your child's SEN or Educational Psychologist Report, or a copy of their Individualised Education Plan (IEP):

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Document Upload Area

Please upload the following PDF documents (where applicable)
A clear photograph/headshot of your child*

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Your child's Passport or Birth Certificate*

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Please upload Visa Documents confirming your child's right to live and study in the UK (if applicable)

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Your child's last two School Reports *

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£120 Registration Fee

Please indicate payment method below
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My Products

Pupil Registration Fee

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£120.00 Quantity

Total

£0.00

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

I will call the school to make a card payment
Check list for submission
Paid the Registration Fee or indicated method of paymentPassport size photo of your child (a clear headshot will suffice)A copy of your child's passport/birth certificateCopies of your child's last two school reportsA copy of your child's most recent Education Psychologist Report (if applicable)Passport and Visa Information if the applicant is not a UK or European citizen (if applicable)
I/we understand that Farringtons School will collect, store and process the data stored on this form in line with its Data Protection Notice. Further information regarding how data is processed and stored can be found on our website www.farringtons.org.uk/school-policiesI hereby apply for admission of my child to Farringtons School and understand that entry requirements have to be met before a place if offered. Please note that failure to give correct information will constitute a material breach of any agreement(s) entered into between the School and you in relation to the education of the applicant pupil entitling the School to terminate all and any such agreement(s) without any obligation to return any deposit or fees paid.
Parent 1 Signature*

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Parent 2 Signature

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Farringtons School Boarding Registration Form - Year 12

Your child's details

Current Education

English as an Additional Language

Parents Details

Examinations to be taken prior to Sixth Form study

Subject Choices for Sixth Form Study

Scholarships

Educational Support and Medical Details

Document Upload Area

£120 Registration Fee

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Check list for submission