Registration Form

Child Details

First Name(s):* Preferred Name: Surname:* Date of Birth:* Sex:* First Language:* Second Language (if applicable): Nationality:* Religion (if any):

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 this form.*YesNo

Please upload evidence of any relevant visa which allows your child to be resident and educated within the UK, if applicable. Child's Present School or Nursery (name and address):* Please list any other nurseries, pre-schools or schools your child is registered at:

Entry Details

Which part of the school do you wish for your child to join?*Little School (6 months - 4 years)Reception (4-5 years)Lower School - Year 1 and 2 (5-7 years)Middle School - Year 3 and 4 (7-9 years)Upper School - Year 5 and 6 (9-11 years)

When would you like your child to join?*

If you chose “Little School” in the above section, please complete the next page.
If you did not choose "Little School", please skip the next page.

Little School Details

In Fledglings (0-2), children must attend for a minimum of 6 sessions a week. This must include at least one session on a Monday or Friday and we suggest attending on consecutive days. In Owls (2-3), children must attend for a minimum of 8 sessions a week. In Robins (3-4), children must attend for a minimum of 8 sessions a week which must include 5 mornings.

Preferred sessions must be specified at time of registration. You may be able to change your preferences nearer to entry date, subject to availability.

Registration for Little School does not guarantee a place in Reception. Parents will need to indicate below if they wish to also register for a place in Reception, and pay an additional £100 fee.

Please select the pattern you require:50 week provisionTerm time only provision (Please note, the term time option is only available for children who are 3 or above. To find out if your child is eligible, please contact the admissions team or see the Registration and Admission Policy).

Registration for Little School does not provisionally allocate your child a place in the school. If you wish to register your child for a place in Reception (in addition to the Little School registration), please indicate below and transfer an additional £100.Yes, I wish to register my child for a place in Reception in addition to the Little School registration, and I will transfer the additional £100 fee accordingly.No, I do not wish to register my child for a place in Reception.

I understand that places offered to children aged 6 months to 3 years are annual (i.e. for 50 weeks for the year) and fees will be due except when the nursery is closed for its scheduled holidays.Yes

I understand that when my child enters Owls (at ~2 years of age), they will be required to attend a minimum of 8 sessions a week. I understand that when my child enters Robins (at ~3 years of age), they will be required to attend a minimum of five mornings and three afternoons.Yes

At the point of securing a place, I agree for Greenfield School to contact my current childcare provider (if applicable) to request a transition form.Yes

Affiliations with the School

If you have any current or prior affiliations with the school, please choose the relevant box and provide details:*Relative attended the school. Please provide their name and relationship to your child below.Friends have children at the school. Please provide family name below.We know someone who works, or has worked, at the school. Please give their name below.Other, please provide detailsNo known affiliations to the school

Please give details of affiliations with the school: 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

Father/Guardian's Title:* Father/Guardian's Full Name:* Father/Guardian's 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?)*YesNo

Mother's/Guardian's Title:* Mother's/Guardian's Full Name:* Mother/Guardian's 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?)*YesNo

Family address (this must be the address where the pupil normally resides):* 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 circumstances helps us to ensure that correspondence is addressed correctly. It remains entirely confidential.

Are they 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.*YesNo

Please provide details for the above question, if applicable:

Parent/Guardian Contact Information

Father/Guardian Mobile Number:* Father/Guardian Home Number: Father/Guardian Work Number: Father/Guardian Email:* Mother/Guardian Mobile Number:* Mother/Guardian Home Number: Mother/Guardian Work Number: Mother/Guardian Email:* Please give the name and address of any person, other than those whose details are provided already, whose consent should be obtained for the child to attend Greenfield: Please give the reason consent should be obtained:

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 Headmistress 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 (greenfield.surrey.sch.uk/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: greenfield.surrey.sch.uk/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 (greenfield.surrey.sch.uk/policies).*£100 registration fee for Little School£200 registration fee for Little School and Reception£100 registration fee for Reception to Year 6 entry

Bank Details

In case you missed them on the previous page, please find the school's bank details below, as well as a reminder of the registration fee amounts:

Greenfield School
Sort code: 40.52.40
Account number 00002116

£100 registration fee for Little School
£200 registration fee for Little School and Reception
£100 registration fee for Reception to Year 6 entry

Please contact the school if you wish to pay using an alternative method.