Registration Form

Child Details

If your child is yet to be born, please complete this form as best you can and put NA for areas such as name and sex. Please include due date for date of birth as an indication.

First Name(s):

Surname:

Preferred Name:

Date of Birth:

Sex:

First Language:

Nationality:

Does your child hold a UK, EEA or Swiss Passport? If no, please provide evidence of any relevant visa which allows your child to be resident and educated within the UK when submitting the form:

Child's present school or nursery (name and address):

Entry Details

Which part of the school do you wish for your child to join?

When would you like your child to join?

Affiliations with the School

If you have any current or prior affiliations with the school, please choose relevant box below:

Friends have children at the school. Please provide family name below.
Myself or a family member previously attended the school.
Member of staff at the school.
Other
No affiliations

Please give extra details of affiliations with the school if applicable:

Please give details of how you heard about us, e.g. recommendation from a friend, Google search, social media:

Siblings

Please give details of your child's siblings. Please note that by naming your children here does not register them at Greenfield. A separate registration form and fee must be received for each child you wish to register.

Name(s), date(s) of birth and current school(s) of any siblings:

Parent and/or Guardian Details

For single parent families, please put NA in the relevant fields.

Parent 1/Guardian Title:

Parent 1/Guardian First Name:

Parent 1/Guardian Surname:

Parent 1/Guardian Profession/Occupation:

Does this person hold parental responsibility (are they named on the child's birth certificate or do they have other legal documentation to prove parental responsibility for the child?):

Yes
No

Parent 2/Guardian Title:

Parent 2/Guardian First Name:

Parent 2/Guardian Surname:

Parent 2/Guardian Profession/Occupation:

Does this person hold parental responsibility (are they named on the child's birth certificate or do they have other legal documentation to prove parental responsibility for the child?):

Yes
No

Family address (this must be the address where the child normally resides):

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

In circumstances where the pupil's parents/guardians do not reside at the same address, please provide the alternative address, indicating which parent/guardian lives at each address:

Information given about family circumstance helps us to ensure that correspondence is addressed correctly. It remains confidential.

Please indicate which parent/guardian you would prefer for us to contact in the first instance regarding school matters:

Parent/Guardian 1
Parent/Guardian 2
No preference

Are there any court orders in place that will affect the payment of school fees or consent required in order for the child to attend Greenfield? If yes, please provide details and submit copies of any relevant documentation as and when appropriate, but no later than at the point of paying the entry deposit.

No
Yes

Parent/Guardian Contact Information

Parent 1/Guardian Mobile Number:

Parent 1/Guardian Email:

Parent 2/Guardian Mobile Number:

Parent 2/Guardian Email:

Conditions for Entry

Applicants will be considered as candidates for admission and entry to Greenfield School when the Registration Form has been submitted and the non-refundable Registration Fee(s) paid. The registration fees are not refundable in any circumstance, regardless of whether the child is subsequently offered a place at Greenfield School or not. This includes a situation where an offer is not made because the school is deemed unsuitable for the child, or by parent choice not to pursue a place. Admissions will be subject to the availability of a place and the child and parents satisfying the admission requirements at the time.

In advance of entry, the following must be submitted on request: A deposit of either £250 (if joining Little School) or £500 (if joining Reception – Year 6). The child’s birth certificate (to be witnessed and a copy made for retention). One recent photograph of the child (for retention). Any court orders, including adoption certificates and any Educational Psychologist reports. There are further requirements for moving from Little School into Reception. Further details are given in the Registration and Admissions Policy.

Deposits are held until the end of the pupil’s final term at Greenfield, unless otherwise specified in the Registration and Admissions Policy. The deposit is liable to forfeiture if the accepted place is not subsequently taken up.

All fees payable are set by the Board of Governors; one term’s notice of any change is normally given at the end of the spring term, but the Governors reserve the right to increase fees at other times. The School reserves the right to contact the child’s present school for educational reports and confirmation that all contractual obligations have been met.

The School reserves the right to pass on educational reports and confirmation that all contractual obligations have been met, including whether or not there are any outstanding fees, to the child’s future school, whether actual or proposed.

Accounts shall be paid in full on or before the first day of each term. Interest will be charged on payments at a rate of 5% if fees remain unpaid for longer than one week after the first day of term.

A full term’s notice (or three months’ notice for Little School) in writing or payment of a term’s fees in lieu is required if a pupil is to be removed from Greenfield. Failure to do so will result in the school pursuing a term’s fees; exceptions cannot be made.

Whilst every effort is made to ensure that during their time at Greenfield pupils who seem to demonstrate specific learning difficulties are referred to appropriate agencies after consultation with parents, the school cannot take responsibility for learning difficulties subsequently diagnosed.

The Head reserves the right to request the removal of a pupil from Greenfield; a full term’s notice will normally be given. Admission and subsequent attendance at Greenfield School of registered children will be conditional on acceptance of the above conditions and of the rules and requirements detailed in the Greenfield.

Greenfield School takes Data Protection seriously. All data requested and stored by the school is done so in accordance with the school’s data protection policy, which can be found on the school website or requested from the school office.

Please refer to the Registration and Admissions Policy (https://greenfield.surrey.sch.uk/about-us/policies/) and the Parent Contract (available at request) for further details including fee payment, suspension and expulsion, uniform requirements, social media use, concerns and complaints and requests for leave of absence.

I/We understand that the school may obtain, process and hold personal information about me/us which may include financial information provided by me/us by any licensed credit reference agency or information contained in court orders, petitions or proceedings:

Yes

I/We understand that the school may also obtain, process and hold personal information about our child which may include sensitive information such as medical details, and I/we consent to this for the purposes of assessment and, if a place is later offered, in order to safeguard and promote the welfare of the child.:

Yes

If you would like further details about how we hold and process personal information, please refer to the school’s Data Protection policy, which can be found on the School’s website: https://greenfield.surrey.sch.uk/about-us/policies/

I/We hereby wish to register my/our child for entry to Greenfield and I/we submit the below non-refundable fee amount by BACS (sort code: 40.52.40 account number 00002116). Please contact the school if you wish to pay using an alternative method. By ticking this box and making payment of the fee, I agree to the Conditions of Entry and declare I have read and understood the Registration and Admissions Policy which is available on the School's website (https://greenfield.surrey.sch.uk/about-us/policies/):