Hospital Registration Form PDF Details

When parents or guardians set out to register their child for admission into the Royal Hospital School, they are presented with a comprehensive Hospital Registration Form that requires detailed personal and educational information about the child. This form serves as the first step in introducing the child to the school's administrative system, capturing essential data such as the child’s surname, first name, preferred name, middle name, gender, date of birth, religion, nationality, and the proposed year of entry. In addition to the child’s personal details, the form also extensively covers the parents’ or guardians’ details, including their relationship to the child, occupation, contact information, and whether they were former pupils of the Royal Hospital School themselves. The form doesn't stop at gathering basic contact information; it delves deeper into the family's connection to the school by asking about siblings who might already be attending or have attended the school in the past. Moreover, it seeks to understand any special educational needs the child may have, their extracurricular interests, and whether they have been registered with any other schools. It’s clear that the completion of this registration form is pivotal in not only providing the school with necessary information to process the application but also in mapping out the potential academic and extracurricular pathways available to the child at the Royal Hospital School. Furthermore, the form outlines the financial commitments required from the parents or guardians, including registration fees and terms related to withdrawing the child from the school, underscoring the significance of this document in the admissions process.

QuestionAnswer
Form NameHospital Registration Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesform c hospital registration certificate, hospital registration certificate download for medical, hospital registration certificate download, hospital registration online

Form Preview Example

Registration Form

Only one child per form

CHILD’S PERSONAL INFORMATION

Surname First name Preferred name Middle name

Boy Girl

Date of birth Religion Nationality

Proposed year of entry

PARENT’S / GUARDIAN’S DETAILS

Year group at entry: (please tick as appropriate)

Year 7

(11+)

 

Year 8

(12+)

Year 9

(13+)*

 

Year 10

(14+)

 

 

 

 

 

 

 

Year 12 (16+)

*13+ candidates only. Will he or she be a Common Entrance candidate?

YesNo

Boarding place

 

Day place

 

 

 

Every pupil whose parents are resident abroad must have a guardian in this county.

Please tick Parent / Guardian box to indicate to which address correspondence should be sent.

Parent / Guardian 1

Title Initials First name Surname Relationship to child Relationship to Parent / Guardian 2

Occupation Address

County

Postcode Country

Day Tel Eve Tel Mobile Tel Fax No Email Former pupil of the Royal Hospital School?

Yes No

Parent / Guardian 2

Title Initials First name Surname Relationship to child Relationship to Parent / Guardian 1

Occupation Address

County

Postcode Country

Day Tel Eve Tel Mobile Tel Fax No Email Former pupil of the Royal Hospital School?

Yes No

CHILD’S PRESENT SCHOOL

School Name Type: Independent / Maintained (delete as appropriate)

Name of Head: Title Forename Surname Address

 

 

 

 

Postcode

 

 

 

 

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Number

 

 

 

 

 

 

Fax Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

May we contact him / her? Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIBLINGS

Does your child have any siblings currently in the school?

Yes

 

No

 

If yes, please give names, year and house.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Does your child have any siblings that are former pupils at the school?

Yes

 

No

 

If yes, please give names.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you have any other children for whom you may consider the Royal Hospital School in the future?

Name

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOB

 

 

 

 

DOB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year of entry

 

Sex

 

Year of entry

 

Sex

 

 

 

 

 

 

 

 

 

 

 

ADDITIONAL INFORMATION

Does your child have any Special Educational Needs (SEN) or physical or learning difficulties?

Yes

 

No

 

If yes, please attach a confidential covering letter or

 

 

 

 

 

 

educational physcologist’s report.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Would your child require EFL (English as a Foreign Language) lessons?

 

 

 

Yes

 

No

 

If yes, please state child’s first language

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INTERESTS

Please give details of any extra-curricular interests your child has, including sports.

OTHER APPLICATIONS

Have you registered your child with any other school?

If so, where?

HOW DID YOU FIRST HEAR OF THE SCHOOL?

 

 

Please tick box

Word of

 

Present

 

Open

 

 

or give details.

 

 

mouth

 

School

 

Day

 

 

 

Education Agent

Exhibition

Schools’ listing / Directory

Advertisment Other website

Newspaper or Magazine

FEES

Yes No

School

websiteBanner

It is assumed that School accounts will be sent to the person signing the contract which is issued on acceptance of a place at the School. If this person is different from the correspondence address please state.

Please send all fee information to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent / Guardian 1

 

 

 

Parent Guardian 2

 

 

Other (see below)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

First Name

 

 

 

 

Surname

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Post Code

 

 

 

 

Tel No

 

 

 

 

Fax No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you eligible for MOD Continuity of Education Allowance (CEA)?

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of claimant and service

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you wish to apply for a Greenwich Hospital Seafarers Bursary?

Yes

 

No

 

 

 

 

(please see the General Information Book for conditions of eligibility)

 

 

 

 

 

 

 

 

 

 

If yes, you will be sent a Bursary Application Pack.

DECLARATION

This form should be returned to the Admissions Officer, The Royal Hospital School, Ipswich, IP9 2RX, together with the non-refundable Registration Fee of £75 and a copy of your child’s Birth Certificate. Places are conditional upon passing the Entrance Examination, interview at the school and receipt of a satisfactory report from the Head of the child’s present school. Fees are payable each term in advance, and a term’s notice in writing must be given before a pupil is withdrawn from the school.

I / We request that the above named child be registered as a prospective pupil. We understand this registration form does not give rise to a commitment by the school or the parents and that the offer of a place is subject to availability and the entry requirements of the School at the time of offer.

I enclose a cheque for £75 (payable to ‘Royal Hospital School’)

or agree to make a transfer payment to the Royal Hospital School

Bank Name:

HSBC Bank plc

Account Sort Code:

40-07-13

Account Number:

71599682

IBAN:

GB40MIDL40071371599682

SWIFT Code:

MIDGBL22

Please ensure that your child’s name is quoted as a reference.

First Signature

Second Signature

 

 

 

 

 

 

Name in Full

Name in Full

 

 

 

 

 

 

Relationship to Child

Relationship to Child

 

 

 

 

 

 

Date

 

Date

 

 

 

The Royal Hospital School, Holbrook, Ipswich, Suffolk. IP9 2RX

Tel: 01473 326 200 Fax: 01473 326 213 Email: admissions@royalhospitalschool.org

The Royal Hospital School is registered as a Data User under the Data Protection Act 1984 and our use of personal information is notified to the Information Commissioner as we are required to do under the Data Protection Act 1998. The Royal Hospital School has no separate legal identity from that of Greenwich Hospital and therefore, for the purposes of the Data Protection Act, is synonymous with the Hospital. The information which you provide to the Royal Hospital School on this Application Form will be used for processing your application, determining eligibility for a Greenwich Hospital bursary, and for statistical purposes. Any information which you provide to the Royal Hospital School may be disclosed on a confidential basis to departments or individuals of Greenwich Hospital by the Royal Hospital School but will be done so in keeping with the Royal Hospital School’s obligations under the Data Protection legislation when necessary. The School will ensure that all personal information is held securely and is not accessible to unauthorised persons.

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