Registration Form "*" indicates required fields Step 1 of 6 16% Child’s detailsHiddenRecord Type ID (School Identifier)* Child's full name* First Last Gender*SelectMaleFemaleDate of birth* DD slash MM slash YYYY Proposed year of entry*2024202520262027202820292030Proposed start month*JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberWhat year group would your child be joining?*ReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Is your child currently attending a school or nursery, or will they be attending a school or nursery prior to joining our school?*SelectYesNoName of child's current nursery and/or school attended or to be attended* Address of current and/or previous nursery or school* Street Address City ZIP / Postal Code CountryAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian OceanBrunei DarussalamBulgariaBurkina FasoBurmaBurundiCHINACambodiaCameroonCanadaCape VerdeCape VerdeCayman IslandsCentral African RepublicChadChileChristmas IslandCoco(Keeling) IslandColumbiaComorosCongoCongo (DRC)Cook IslandsCosta RicaCroatia (Hrvatska)CubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGrand CaymanGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHONG KONGHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJAPANJamaicaJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, the former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNIGERIANamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNiueNorfolk IslandNorwayOmanPakistanPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalQatarRUSSIAReunionRomaniaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaSão Tomé and PrincipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Island(British)Wallis and Futuna IslandsWestern SaharaYemenZambiaZimbabwe Country Right to ResidePlease note that the School is required to take steps to ascertain whether your child has permission to be in the UK and to study at the School. Please state your child's nationality:*SelectBritishAfghanAfrican-AmericanAlbanianAlgerianAmericanAndorranAngolanAnguillanArgentineArmenianAustralianAustrianAzerbaijaniBahamianBahrainiBangladeshiBelarusianBelgianBelizeanBenineseBermudianBhutaneseBolivianBotswananBrazilianBritish Virgin IslanderBruneianBulgarianBurkinanBurmeseBurundianCambodianCameroonianCanadianCape VerdeanCayman IslanderCentral AfricanChadianChileanChineseCitizen of Antigua and BarbudaCitizen of Bosnia and HerzegovinaCitizen of Guinea-BissauCitizen of KiribatiCitizen of LiechtensteinCitizen of SeychellesCitizen of VanuatuColombianComoranCongoleseCook IslanderCosta RicanCroatianCubanCymraesCymroCypriotCzechDanishDjiboutianDominicanDutchEast TimoreseEcuadoreanEgyptianEmiratiEnglishEquatorial GuineanEritreanEstonianEthiopianFaroeseFijianFilipinoFinnishFrenchGaboneseGambianGeorgianGermanGhanaianGibraltarianGreekGreenlandicGrenadianGuamanianGuatemalanGuineanGuyaneseHaitianHonduranHong KongerHungarianIcelandicIndianIndonesianIranianIraqiIrishIsraeliItalianIvorianJamaicanJapaneseJordanianKazakhKenyanKittitianKoreanKosovanKuwaitiKyrgyzLaoLatvianLebaneseLiberianLibyanLithuanianLuxembourgerMacaneseMacedonianMalagasyMalawianMalaysianMaldivianMalianMalteseMarshalleseMartiniquaisMauritanianMexicanMicronesianMoldovanMonegasqueMongolianMontenegrinMontserratianMoroccanMosothoMozambicanNamibianNauruanNepaleseNew ZealanderNicaraguanNigerianNiueanNorthern IrishNorth KoreanNorwegianOmaniPakistaniPalauanPalestinianPanamanianPapua New GuineanParaguayanPeruvianPitcairn IslanderPolishPortuguesePrydeinigPuerto RicanQatariRomanianRussianRwandanSaint LucianSalvadoreanSammarineseSamoanSao TomeanSaudi ArabianScottishSenegaleseSerbianSierra LeoneanSingaporeanSlovaianSlovakSlovenianSolomon IslanderSomaliSouth AfricanSouth KoreanSouth SudaneseSpanishSri LankanStatelessSt HelenianSudaneseSurinameseSwaziSwedishSwissSyrianTaiwaneseTajikTanzanianThaiTogoleseTonganTrinidad and TobagoTrinidadianTristanianTunisianTurkishTurkmenTurks and Caicos IslanderTuvaluanUAEUgandanUkrainianUruguayanUzbekVenezuelanVietnameseVincentianWelshWest IndianYemeniZambianZimbabweanPlease choose your child's nationality from the list above.Is your child a British or Irish citizen?*YesNoStudent visa type required*Child/StudentStudentBNOTier 1VisitorOther leave to remainWithdrawnBritishNot SetIf your child is not a British or Irish citizen but holds or will hold another immigration category that permits them to study at the School, including if they have been granted digital status under the UK's EU Settlement Scheme, please provide full details below:*Important InformationFailure to provide full details / documents in relation to any of the above/below information will result in your application not being processed and therefore no place awarded.If your child has or will have a time restricted or temporary visa in any other immigration category (for example, as a dependent) please provide a copy of this when returning this form if you have it or as soon as you have it.If your child has been granted digital status under the UK's EU Settlement Scheme, please provide proof when returning this form. Please note that in relation to all children who have, or will have a time restricted or temporary visa, including those who are sponsored by us, we reserve the right to:a) request further information and sight of documentation in support of your declarations regarding immigration at any time; and b) to share information with the Home Office as required, including for the purposes of compliance with our responsibilities as a licenced sponsor.The School may be required to notify and / or supply information relating to your (i.e. the parents) and / or your child's right to enter, reside and / or study in the United Kingdom to the Home Office (and to do so whether we sponsor your child or not). First Parent or Signatory's detailsFirst Parent or Signatory's full name* TitleDrMissMrMrsMsMxProfessor Prefix First Last First parent postal address* Street Address City Postcode CountryAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian OceanBrunei DarussalamBulgariaBurkina FasoBurmaBurundiCHINACambodiaCameroonCanadaCape VerdeCape VerdeCayman IslandsCentral African RepublicChadChileChristmas IslandCoco(Keeling) IslandColumbiaComorosCongoCongo (DRC)Cook IslandsCosta RicaCroatia (Hrvatska)CubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGrand CaymanGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHONG KONGHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJAPANJamaicaJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, the former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNIGERIANamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNiueNorfolk IslandNorwayOmanPakistanPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalQatarRUSSIAReunionRomaniaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaSão Tomé and PrincipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Island(British)Wallis and Futuna IslandsWestern SaharaYemenZambiaZimbabwe Country Contact informationFirst Parent or Signatory's mobile telephone* First Parent or Signatory's home email address* Work detailsFirst Parent or Signatory's work telephone First Parent or Signatory's work email address First Parent or Signatory's occupation Second Parent or Signatory's detailsAdd second parent Add second Parent Second Parent or Signatory's full name & title* TitleDrMissMrMrsMsMx.Prof. Prefix First Last Second Parent or Signatory's postal address* Same as first parent Street Address City Postcode Aland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian OceanBrunei DarussalamBulgariaBurkina FasoBurmaBurundiCHINACambodiaCameroonCanadaCape VerdeCape VerdeCayman IslandsCentral African RepublicChadChileChristmas IslandCoco(Keeling) IslandColumbiaComorosCongoCongo (DRC)Cook IslandsCosta RicaCroatia (Hrvatska)CubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGrand CaymanGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHONG KONGHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJAPANJamaicaJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, the former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNIGERIANamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNiueNorfolk IslandNorwayOmanPakistanPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalQatarRUSSIAReunionRomaniaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaSão Tomé and PrincipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Island(British)Wallis and Futuna IslandsWestern SaharaYemenZambiaZimbabwe Country Second parent’s contact informationSecond Parent or Signatory's mobile telephone* Second Parent or Signatory's home email address* Second parent’s work detailsSecond Parent or Signatory's work telephone Second Parent or Signatory's work email address Second Parent or Signatory's occupation FeesIf someone other than the first and second signatories is to pay the School fees for your child please provide below their full name and address and their relationship to your child. Please note further information about the third-party payer will be required by the School and must be provided in order for an offer to be made. Please provide as much information as possible in the section below to minimise any further information requests (i.e. (a) if an individual, the connection to such person or (b) if a Ltd Company – full company details and your connection to the company). Will the fees be paid by a 3rd party?*NoYesIf you answered yes, provide details below:* Confidential InformationPlease complete this Confidential Information Form, if applicable, in order to assist us with making any special arrangements which are required for School visits and / or entrance assessments. The information provided in this form will enable the School to consider any adjustments that it may need to make to assist your child to partake in the School's admissions procedure or when he/she enters the School.Please provide us with as much detail as possible in the space below. Where possible, please provide any relevant documentation such as medical reports, assessments etc.The information requested on this form is needed because the School has contractual, statutory and regulatory duties towards your child. For more information about how the School will use your information, and your child's information, please see privacy notice. This document is provided with the letter of offer and published on the School's website. Does your child have learning requirements or require any additional support?*SelectYesNoDetails of additional support and learning requirements*Any medical conditions to declare?*SelectYesNoDetails of medical conditions* Connections with the SchoolPlease mention here the names of any other members of the family attending the School or registered for entry; or any other connection with the School or Dukes Education.Connections with the school Sibling of current pupil Sibling of future pupil Current pupil at Dukes Education school/nursery Child of staff member of school or Dukes Child of alumni Details of connectionPlease indicate how you first heard of the School* Current School Education Advisors Education Guide Exhibition Friend Web search Independent Schools Council Newspaper Not Set Previous School Social Media Website Word of Mouth Important informationUpdates*After you register your child, we would like to contact you occasionally with School updates, as we believe this will help you make an informed choice about whether our school is the right school for your child(ren).Please tick here to consent to us contacting you in this way. We will never sell your data to third parties. If you later change your mind, you can tell us by emailing the school office. Yes, please do send me occasional updates. No, I'm not interested in hearing occasionally from the school. Consent*We will process your and your child's personal information in accordance with our Privacy Notice for Parents, which is available at https://www.nottinghillprep.com/useful-information/policies/ I agree to the privacy policy.Registration fee*Please pay the £150 registration fee through our secure link below. Price: Credit CardCard Details Cardholder Name NameThis field is for validation purposes and should be left unchanged.