Registration Form

Please Note: To enable this registration to be processed, all sections must be completed.
(*) Required Field

Surname of Child(*)

First Name(*)

Date of Birth (mm/dd/yyyy) (*)

Sex
  • Male
  • Female
Year of entry(*)

Term
Year group
Age at Start Date (*)

Boarding
Nationality (*)

First Language (*)

Religion (*)

Have you registered your child’s name at any other school/s?
  • Yes
  • No
If yes, please indicate which schools

Child’s Parents Guardian and Main Home Address (where all correspondence should be sent) :

Relationship (Parents/Mother/Father/Guardian etc.) (*)

Title (*)

Name (*)

Surname (*)

Address (*)

Post code (*)

Daytime Telephone
Evening Telephone (*)

Mobile (*)

Fax
Email (*)

Occupation (*)

Child’s Second Address(if applicable)::

Relationship(Parents/Mother/Father/Guardian etc.) (*)
Title (*)

Name (*)

Surname (*)

Address (*)

Post code (*)

Daytime Telephone
Evening Telephone (*)

Mobile (*)

Fax
Email (*)

Occupation (*)

NOTES

Early registration is recommended. Registrations will be considered in the order they are received. Offers of places are subject to availability and the admission requirements of Repton School, Dubai, at the time offers are made. A copy of the current edition of the standard terms and conditions will be supplied on request.

DECLARATION

We request that the name of our above-named child be registered as a prospective pupil. We understand that an amount of AED 1,500/- is payable to Repton School FZ LLC as non-returnable registration fee by Cheque / Cash / Telegraphic Transfer (proof of TT) is enclosed. We understand that the standard terms and conditions of the School will undergo reasonable changes from time to time as circumstances require and will apply in all our dealings with the School. We understand also that the School (through the Headmaster, as the person responsible) may obtain, process and hold personal information about our child, including sensitive information such as medical details, and we consent to this for the purposes of assessment and, if a place is later offered, in order to safeguard and promote the welfare of the child.

I/We declare that I/we am/are the child’s parent(s)/legal guardian(s) and that the information given in this registration form is correct: (*)

Name in full (*)

Relationship to the Child (*)

Name in full (*)

Relationship to the Child (*)

Please mention here the names of any other family members attending Repton Dubai or registered for entry; or if you have any other connection with the school:

Please indicate how you first heard of Repton Dubai.

Was it from:

Please state the name and address of your child’s current school with dates attended (if applicable):

School
Tel No
Address
Name of Head
Years of Attendance
Please outline any of your child’s artistic, dramatic, musical or sporting skills or experience (if applicable):
Please give an outline of your child’s other hobbies or interests (if applicable):
Please provide us with details of any medical condition (including allergies), disabilities or learning difficulty of your child:
(*)required field