About your Child

Name of Child (In Full)

Gender

Date of Birth (dd/mm/yyyy)

Town of Birth

Nationality

Home Language

What is the child's ethnic group?

Choose one option that best describes ethnic group or background.

Religious Denomination

Is the child the son or daughter of a Methodist Minister?

Yes No

Home Address

City

Postcode

Parent/Guardian (1)

Parental Responsibility

Yes No

Name

Surname

Member of staff

Yes No

Relationship to Child

Occupation

Address (If Different to Child)

City

Postcode

Email

Mobile Number

Parent/Guardian (2)

Parental Responsibility

Yes No

Name

Surname

Member of staff

Yes No

Relationship to Child

Occupation

Address (If Different to Child)

City

Postcode

Email

Mobile Number

Educational Information

School year of entry (e.g. P1, P2 etc.)

Desired date of entry (month, year e.g. September, 2023)

Previous Nursery/Preschool

Now Attending (P2-P7 Applicants Only)

Near Relatives Now or Previously at the College or Preparatory Departments

Relative 1

Relative 2

Special Educational Needs

Statement

Provide Details of any Specific Educational Requirements

Medical Information

Medical History

Doctors Contact Details

How did you hear about Methodist College Preparatory Department?

How did you hear about us?

If other, please specify.

Attach copy birth certificate

Please include a copy of child's birth certicate with application.

Max file size: 10 MB