Please note that all the questions marked * should be answered.
 
Parent/Guardian's
 
*Title
*First Name
*Last Name
*Address
PostCode
*Telephone Number
*Current Mobile Number
Email Address
 
Information about the Student:
 
*Student's First Name
*Student's Last Name
*Gender
*Student's Date of Birth
 
Current School:
 
Name
Address
Postcode
 
Admission Information:
 
*Proposed Date of Entry
*Joining Year Group
*Education Entry Level
*Class Entry Level
Do you currently have any friends/relatives/family member studying at Roots School System?
Yes No
In addition to our Prospectus pack (which includes our admissions procedures and
current school fees) is there anyother information you would like us to send you?
Please use this space for any other relevant details you feel we may need: