Applicant's Family Name
*
Applicant's First Name
*
Date of Birth
(dd/mm/yyyy) *
Nationality
*
Religion
*
Native Language
*
Other Languages Spoken
Street address
*
Address (cont.)
City
*
State/County
*
Zip/Postal code
*
Country
*
Home Phone
*
Home Fax
Mailing address
(if different from home address)
Are both parents
living?
separated?
divorced?
With whom does student live?
*
Father's Home Address:
Name
*
Address*
Home Phone
*
Profession/Title
*
Employer's name and address *
Tel No
*
Fax
Mother's Home Address:
Name
*
Address *
Home Phone
*
Profession/Title
*
Employer's name and address *
Tel No
*
Fax
If parents are separated or divorced, please indicate to whom correspondence should be addressed
To whom and what address should all billings be sent?
Name
*
Address *
Tel No
*
Fax
Education Details:
Please list schools attended by the applicant in the last three years and grades attended in each school:
1. Present School:
Grade/Year/Group/Class
*
Name
*
Address *
2. Prior School:
Grade/Year/Group/Class
Name
Address
3. Prior School:
Grade/Year/Group/Class
Name
Address
University/College which applicant hopes to attend
*
Alumnae or present students of Marymount whom you may know
How did you hear about Marymount School? *
Fees and Conditions
THE APPLICATION PROCEDURE IS NOT COMPLETE WITHOUT A NON-REFUNDABLE REGISTRATION FEE 0F £100, A RECENT PHOTOGRAPH AND SIGNATURES OF THE PARENT OR GUARDIAN. A REPRESENTATIVE FROM THE SCHOOL WILL CONTACT YOU SHORTLY TO COMPLETE THE APPLICATION.
Pupils are received for the entire year, or from the time they enter to the end of the year. Acceptance and entrance constitute a contract to pay the entire tuition as specified on the tuition schedule. There is no reduction or refund for absence, withdrawal or dismissal. The School reserves the right to dismiss at any time a student who has proven to be an unsatisfactory member of the school community. If, in the School's judgement, a student's conduct on or away from campus indicates that she is consistently out of sympathy with the ideals, objectives and programme of the School, parents will be required to withdraw the student at once, even though there may have been no infraction of a specific rule.
I HEREBY INDICATE THAT I HAVE READ AND AGREE WITH THE TERMS AND CONDITIONS ABOVE
(Please Tick)*
I HEREBY APPLY for a place for my daughter for the period
beginning
, ending
and give permission for the release to Marymount International School, of all academic, medical and personal information pertaining to my daughter*
Please provide us with a contact e-mail address to be used in correspondence relating to your application.
Please check the details you have entered carefully and when you are satisfied that all required fields are complete submit the form using the submit button below. If you receive a message indicating that one or more fields are missing return to this form by using the 'back' button on your browser. You may wish to print a copy of this form before submitting.