Registration Form

Please complete the registration form below and submit together with a £120 registration fee payment which is non-refundable (£100 registration fee plus 20% VAT). Miss Hodgins in Admissions will be in touch to acknowledge your registration and invite you to a Readiness session shortly. The bank details are below to pay the registration fee on line.

By completing this form, you are giving consent to the school processing your information, in accordance with the relevant legislation. For more information, the Stormont Data Protection Policy can be found on our website.

"*" indicates required fields

Daughter's Full Name*

First Last

Name by which your daughter will be known as.*

Calendar Year of Entry*

Year Group of Entry*

Term of Entry*

Daughter's Date of Birth*

Nationality*

Religion*

Title of Parent 1*

Name of Parent 1*

First Last

Relationship to Child*

Permanent Address of Parent 1*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Telephone Number - Mobile No. of Parent 1*

Email Address of Parent 1*

Profession / Occupation of Parent 1*

Title of Parent 2

Name of Parent 2

First Last

Relationship to Child

Permanent Address of Parent 2

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Telephone Number - Mobile No. of Parent 2

Email Address of Parent 2

Profession / Occupation of Parent 2

If you have parental responsibility for the child in a capacity other than as a parent, please state your relationship here.

Name and address of your daughter's present school or nursery setting.*

Are there any domestic, medical or educational facts which we ought to know?

Are there are dietary requirements for your daughter?

Have you registered at any other school, and if so which?

Have you or any family members attended Stormont? If yes, what years did you/they attend?*

How did you hear about Stormont School?*

Please pay the non-refundable £120 registration fee to: Barclays Sort Code: 20-29-77 Account: 60844942 - PLEASE ADD YOUR DAUGHTER’S NAME AS A REFERENCE

Name in Full of Parent 1*

Relationship to Child*

Name in Full of Parent 2*

Relationship to Child*

Date