St Mary’s School, Hampstead: Request for a place on the waiting list Registration Section Registration Form Request a place on the waiting list. Please complete this form in as much detail as possible. We need this information to be able to process your application. Information which is mandatory for you to provide is indicated by a *. If you do not complete the mandatory sections in full this may jeopardise or delay your application. Your Child Surname of your child * First names * Preferred name * Nationality * Sex * Religion * Date of Birth * Is your child a British or Irish citizen? * YES NO I confirm that my child has the appropriate immigration permission to live in the UK and to study at the School: * Confirm Please note that the School does not hold a Child Student sponsor licence and it is your responsibility to ensure that your child has the appropriate immigration permission to live in the UK and to study at the School. We reserve the right to request evidence that your child has such permission prior to their admission to the School. Proposed term and year of entry * Have you registered your child’s name at any other school(s)? * YES NO Other school(s) * First Signatory Title * e.g. Mr, Mrs, Miss, Ms Full name * Relationship to child * Contact telephone number(s) * Email address * Address * Address Address Address City City County, London Borough or other County, London Borough or other Postcode Postcode Occupation Employer's business name and address Second Signatory Title * e.g. Mr, Mrs, Miss, Ms Full name * Relationship to child * Contact telephone number(s) * Email address * Address * Address Address Address City City County, London Borough or other County, London Borough or other Postcode Postcode Occupation Employer's business name and address If you are human, leave this field blank. Next
