Subsidy for Excellence

Please complete all fields marked (*)

Your first name *

Your last name *

Your email *

Surname of pupil (as it appears on birth certificate) *

Forenames of pupil (as they appear on birth certificate) *

Preferred Name

Date of Birth *

Proposed date of entry

Year group on entry *

Gender

Nationality *

If not a British or EU Citizen please provide a copy of passport & student visa (requirement of UK Visas and Immigration)

What is your child's first language?

Current School

Date entered

Date leaving

Current School address

Current School Postcode

Name of Headteacher (who will be asked for a reference)

Previous school(s) attended with dates

Fathers Full Name *

Details of Parents (Legal guardians please complete as appropriate)

Home Address inc. postcode *

Telephone Number *

Father's Occupation

Mother's Full Name *

Details of Parents (Legal guardians please complete as appropriate)

Home Address inc. postcode *

Telephone Number *

Mother's Occupation

Where parents have different address please indicate where pupil lives. *

Are parents jointly responsible for pupil's education?

Please mention any medical condition that might affect your child's life at school:

Has your child ever had any kind of educational assessment or received learning support? *

Yes

Are they entitled to Exam Access Arrangements such as extra time? *

Yes

Has your child been referred to or seen CAMHS? *

Yes

Please list other schools (if any) for which your child has been entered:

Is OLA your first choice?

Yes

How did you first hear of OLA? Select all that apply: *

Connection with school (if any):

Details of other children (Name, date of birth & current school):

Have you visited the school before? Tick all that apply:

Open Morning

Pupil Experience Day

Tour

Event (such as school show or craft fair)

Club/Swimming/Sports fixture

Please tick to confirm you have understood the following *

- Conditions of Admission 1. Fees are payable in advance and should be paid no later than the due date on the invoice. Any accounts outstanding after this date will be subject to a surcharge. 2. Contractual liability remains with the signatories on the original application form, irrespective of who subsequently pays the fees. 3. Fees are not refundable in the event of ill health, enforced absence, or if any pupil is required by The Head to leave the School. 4. A full term's notice is required in writing before the withdrawal of a pupil or before the discontinuation of any subject for which extra fees are payable. Should notice NOT be given, a full term's fees will be charged. 5. The Head reserves the right to suspend or require the removal of a pupil at any time if either their conduct or progress should prove unsatisfactory. 6. The school cannot accept responsibility for any loss or damage to pupils' property while on the school premises. We have read the Conditions of Admissions listed above. Should our child be admitted to the School we undertake to observe them fully. 7. By signing this form, you have a duty of declaration to answer all questions or OLA reserve the right to terminate their contract with you.

Please tick to confirm payment of admissions fee *

The Admission Fee of £120 should be paid into the following account (or a cheque made payable to Our Lady's Abingdon Trustees Ltd). Please use your child's name as the reference. Bank HSBC Account Name Our Lady's Abingdon Trustees Ltd Sort Code 40-08-10 Account Number 01584863 IBAN GB73HBUK40081001584863 BIC HBUKGB4116A

Please provide a signature. *