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CHILD 1 PERSONAL DETAILS

Child 1 Gender*
Child 1 Date of Birth*
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I WOULD LIKE TO REGISTER MY CHILD FOR

Child 1 Applying to stay as*
*Boarding from 11 to 18 years
Has the child already attended a boarding school in the past?
(This question only applies to boarding applicants)
Child 1 Anticipated Entry Term
Estimated Entry Date*
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ACADEMIC INFORMATION
Please upload if not yet provided to admissions
School reference | Référence école (Child 1)*
I authorise Haut-Lac to contact the previous school for reference purposes | J’autorise Haut-Lac à contacter la précédente école à titre de référence
Has your child ever received any type of specialised support in school or outside school (eg. Academic support, speech and language therapy, psychological counselling, physical therapy etc)

 

 

Has your child ever been diagnosed with any of the following conditions?*
Please provide us with details of any medical condition, disabilities or learning difficulties of your child. Failure to disclose any factors which may affect your child's ability to cope independently within the mainstream school / or if the school is unable to meet the child's needs may result in a place being withdrawn.
Do you think your child will need support for English or French as a foreign language*
*The duration of language support sessions are always based on the child's needs and subject to review during the year*.

FAMILY INFORMATION

Parent/Guardian 1

Gender *

Address 

Occupation*

ADDITIONAL INFORMATION

Who does the Student live with? (Child 1)*

Languages Spoken at home

OTHER INFORMATION

Send all online school communication to*
Correspondence language*

PAYMENT DETAILS

Please address all invoice(s) to*
My employer pays all or part of the school fees*
Instalment Options (Day students only):*
How did you learn about our school?*
I declare that all information supplied above is true and correct and I have read and agree to the general and financial terms and conditions of the school

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