Secondary Boarding Application Form

Please Indicate Which Year Group You Are Applying For*

Please read The Royal School, Wolverhampton Admissions Policy 2022 before completing this form.

Please write clearly in BLOCK CAPITALS

If you need help completing this form please call 01902 341230

Student information

Surname* Forename* Middle Name (s) D.O.B. (date of birth)*

Gender*BoyGirl

House No/Street* Town/City* District Postcode/Zip* Country of Residence*

Parent/Guardian Details

Please give details of all persons who have parental responsibility.

Parent contact 1

Title e.g. Mr, Mrs Forename* Surname* DOB (Parent) Mobile* NI Number E-mail* Home Phone Home Address Postcode Relationship to child*

Does this contact have parental responsibility?*YesNo

Parent contact 1

Title e.g. Mr, Mrs Forename Surname DOB (Parent) Mobile NI Number E-mail Home Address Postcode Relationship

Does this contact have parental responsibility?YesNo

Special Educational Needs

Does the candidate have any special need or disability for which reasonable adjustment may be required during the admissions procedure or thereafter?*YesNo

Please give details:

Does the candidate have a statement of Special Education Needs?*YesNo

Please give details: Present School:* Address:* Post Code/Zip:* Principal Telephone:*

This section must be signed and dated by person completing this form)

Declaration to be completed by all applicants

I/We hereby apply for a boarding place at The Royal School for our son/daughter. I/We understand that a fee, details of which can be found on our website, is payable to the Governors in respect of boarding provision and that this fee may vary from time to time. I/We certify that the information given in this application is true, complete and correct and authorise the Governing Body, or agencies acting on behalf of the Governing Body, to verify the information given. In the case of UK residents, I/We have also made any necessary application via the child’s home Local Authority.

Signed*Please tick to sign

Relationship to pupil Date