APPLICATION FOR A CHILD’S REGISTRATION October 2003
APPLICATION FOR A CHILD’S REGISTRATION October 20032009-09-29
<emphasis role='bold'>APPLICATION FOR AN ACADEMIC SCHOLARSHIP </emphasis>February 2010
BILTON GRANGE SCHOOL
Parents are requested to complete this form and return it to:
The Headmaster, Bilton Grange School, Dunchurch, Rugby Warwickshire CV22 6QU
<emphasis role='bold'>Telephone: 01788 810217 Fax: 01788 816922</emphasis>
Term of Entry into the Preparatory School: September / January / April (please delete) Year: ……..
Status: Full Boarding / Weekly Boarding / Flexi Boarding / Day Pupil (please delete)
Child’s Name: Forename(s) (underline forename used)
Surname (in capitals)
Date of Birth:
Religion:
Full names and address of parents:
(including post code)
Home Telephone Number(s):
Name of Head and Address of present school:
School Telephone Number(s):
Please note below any particular interests and achievements of your child – eg music, arts, sport etc.
Signature: ……………………………………………. Date: ………………………………………………………...