Full Name of Parent

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Full Name of Child

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Name of School

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Email Address

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Age of Child

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Your child is already attending an independent school

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Your child is entering years 11 or 13 in September of the next academic year

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You have had a change of financial circumstances in the last twelve months

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For example failure of your business, redundancy, death of a parent, serious illness or some other life changing event.

The school that your child attends makes, or plans to make, a contribution to your fees

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Please give a brief outline of your circumstances in no more than 100 words

Form Consent

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I understand and agree