Application for Admission

Name of child in full: _____________________________________

Date of birth: ___________________________________________

Names of any brothers or sisters who are currently pupils at Lichfield Cathedral School or registered for future admission: -

Current pupils
Name:

Form:

Future pupils
Name:

Date of admission

Name and address of present school to which a request for a report may be made:

__________________________________________________________________________

I apply for the admission of my son q daughter q ward q in the term beginning September q January q April q 20……. as a full boarder q weekly boarder q day pupil q.

Name and address of parent/guardian: __________________________________________

_________________________________________________________________________

Profession (Father): ________________________________________________

Profession (Mother): ________________________________________________

Telephone numbers: Home: _________________________________________

Business (Father): ________________________________

Business (Mother): _______________________________

Signed _____________________________ Date: _______________ 20_______

Please complete and return to Mrs Lesley Bannister, Registrar.