Malvern College Registration Form

Please note that each registration should be accompanied by a registration fee (£220). Payment details may be found at the end of this online form, or please contact the Admissions Office.

CHILDS'S SURNAME(Required)

FIRST NAME(S)(Required)

DATE OF BIRTH

GENDER(Required)

Male

Female

NATIONALITY(Required)

RELIGION

FIRST LANGUAGE (IF NOT ENGLISH)

TYPE OF PLACE(Required)

Boarding

Day

Day Boarding

YEAR OF ENTRY(Required)

ENTRY YEAR GROUP

Foundation Year (Year 9, 13+)

Remove (Year 10, 14+)

Pre Sixth Form (One Year Course, 15+)

Lower Sixth (Year 12, 16+)

JOINING FROM

The Downs Malvern

Malvern International School

Other

CURRENT SCHOOL

School Address

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

NAME OF HEAD (INCLUDING MR / MRS / MS / DR)

EMAIL OF HEAD

DOES YOUR CHILD HAVE ANY KNOWN MEDICAL CONDITION OR HEALTH PROBLEMS OR ALLERGIES?(Required)

Yes

No

ARE ANY TREATMENTS REQUIRED?(Required)

Yes

No

HAS YOUR CHILD EVER SUFFERED FROM AN EATING DISORDER?(Required)

Yes

No

IS YOUR CHILD UNABLE TO PLAY A FULL PART IN THE GAMES AND SPORTING CURRICULUM OF THE COLLEGE?(Required)

Yes

No

If you have answered Yes to any of the above, up-to-date details will be requested later by the College Medical Officer.

DOES YOUR CHILD HAVE ANY LEARNING DIFFICULTY, SPECIAL EDUCATIONAL NEED, DISABILITY OR BEHAVIOURAL/EMOTIONAL AND/OR SOCIAL DIFFICULTY?(Required)

Yes

No

DOES ANY PERSON NAMED IN THIS FORM EXPECT TO CHANGE ADDRESS DURING THE NEXT 12 MONTHS?(Required)

Yes

No

ARE THERE ANY COURT ORDERS IN RELATION TO YOUR CHILD, FOR EXAMPLE AS TO PARENTAL RESPONSIBILITY, RESIDENCE, CONTACT, PROHIBITED STEPS, SPECIFIC ISSUES OR PERIODICAL PAYMENTS?(Required)

Yes

No

WILL YOUR CHILD REQUIRE SPONSORSHIP FROM THE COLLEGE IN ORDER TO OBTAIN A VISA TO STUDY IN THE UNITED KINGDOM AT THIS COLLEGE?(Required)

Yes

No

If you have answered Yes to any of the above, up-to-date details will be requested later by the College Medical Officer.

PLEASE OUTLINE ANY OF YOUR CHILD’S SIGNIFICANT ACHIEVEMENTS (E.G. REPRESENTATIVE SPORT, MUSICAL GRADES ETC)

PLEASE GIVE AN OUTLINE OF YOUR CHILD’S OTHER HOBBIES OR INTERESTS, IF NOT MENTIONED ABOVE

PLEASE MENTION HERE THE NAMES OF ANY OTHER MEMBERS OF THE FAMILY ATTENDING THE COLLEGE OR REGISTERED FOR ENTRY; OR ANY OTHER CONNECTION WITH THE COLLEGE

Parent 1 / Legal Guardian Details:

TITLE(Required)

YOUR NAME(Required)

YOUR ADDRESS(Required)

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

EMAIL(Required)

TELEPHONE NUMBER(Required)

OCCUPATION(Required)

IS THIS YOUR CHILD'S MAIN RESIDENCE?(Required)

Yes

No

Parent 2 / Legal Guardian Details:

TITLE(Required)

YOUR NAME(Required)

YOUR ADDRESS

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

EMAIL(Required)

TELEPHONE NUMBER(Required)

OCCUPATION(Required)

IS THIS YOUR CHILD'S MAIN RESIDENCE?

Yes

No

PLEASE INDICATE TO WHOM CORRESPONDENCE SHOULD BE SENT(Required)

Parent 1

Parent 2

Both

Payment of Registration Fee

Early registration is recommended. Registrations will be considered in the order they are received. Offers of places are subject to availability and the admission requirements of the College at the time offers are made. A copy of the current edition of the standard Terms and Conditions will be supplied on request. The Registration Fee is £220 and payment may be made at the end of this online form.

Application Fee

Credit Card

Declaration We request that our named child be registered as a prospective pupil. The non-returnable registration fee will be paid as part of this form submission. We understand that the standard terms and conditions of the College will undergo reasonable changes from time to time as circumstances require and will apply in all our dealings with the College. We understand also that the College (through the Headmaster, as the person responsible) may obtain, process and hold personal information about our child, including sensitive information such as medical details, and we consent to this for the purposes of assessment and, if a place is offered, in order to safeguard and promote the welfare of our child. Please speak to the Head of your child's school before submitting this form. When we receive it we will assume that we may write to the school for a report.

Parent 1

NAME(Required)

DATE OF BIRTH(Required)

RELATIONSHIP TO CHILD?(Required)

Parent 2

NAME(Required)

DATE OF BIRTH(Required)

RELATIONSHIP TO CHILD?(Required)

Privacy Protection The information provided on this form will only be processed for the purpose for which it has been given and it will be held on a database. This will allow us to send you other related information in the future. We do not sell, trade or offer this information to others and will primarily use the information to process your application to have your child admitted to Malvern College. This may be shared with third party consultants for this purpose only. We may also use your email address to inform you about Admissions opportunities that may be of interest. The College’s Data Protection Policy can be found on the College’s website linked to in the footer or at www.malverncollege.org.uk/privacy-policy. Please contact the Data Compliance Officer at dataprotection@malverncollege.org.uk for queries about how your data is used. If you do not wish to receive any further information from Malvern College via email, please email: admissions@malverncollege.org.uk.

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