Submitting Data

Child's Details

Surname of your child:*
First names:*
Date of birth:*
Gender:*
Nationality:*
Country of Residence:*
Languages spoken at home:*
Religion:
Which course would you like to apply for?:*
Preferred Course Start Date:*
Preferred Course Duration (minimum 2 weeks):*
Please indicate how you first heard of ExKCel:	Local Reputation Present School Friends Advertisement (please provide details) Other (please provide details) Website
Have you registered your child at any other school/s and if so which?:

Current School:
Further Details:

First Parent / Legal Guardian

Title:*
Surname:*
First Names:*
Address 1:*
Address 2:
Address 3:
Address 4:
Address 5:
Country:*
Occupation:*
Work address:*
Daytime telephone:*
Email:*
Home telephone:
Mobile telephone:*
Alternative or second address, phone number etc Please give details of any alternative addresses or phone numbers where relevant:

Second Parent / Legal Guardian
If none please leave blank and click "Next"

Alternative or second address, phone number etc Please give details of any alternative addresses or phone numbers where relevant:

Add a 2nd Parent?
Title:*
Surname:*
First Names:*
Copy address details from "First Parent / Legal Guardian"?
Address 1:*
Address 2:
Address 3:
Address 4:
Address 5:
Country:*
Occupation:*
Work address:*
Email:*
Home telephone:
Mobile telephone:*

Where your child normally lives

Please tick all that apply:	First Parent / Legal Guardian Second Parent / Legal Guardian Other
If other, please provide details below:

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 the School 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 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.

First Name in Full:*
Relationship to child:*
Date:*

Second Name in Full:
Relationship to child:
Date:

For further assistance please call our Head of EXKCEL on +44 (0)1227 763231 / headofexkcel@kentcollege.co.uk