Please fill in your personal data here!

Mother's Details

Please mention the names of any other members of the family attending Repton School or who are registered

for admission, please mention any other connection with the School.

Please state the name and address of each school (with dates) attended in the last three years, current school

first, together with the name of the head teacher.

Please provide us with details of any medical condition (including allergies), disabilities or learning difficulties of your child. Has your child ever been diagnosed with any of the following? You must disclose any factor which may affect your child's ability to cope independendy within the mainstream school environment. If your child has learning difficulties and has an IEP, this must be presented as part of the application. Failure to disclose any learning difficulties or medical conditions at the time of application may result in withdrawal of the application. Any offer made by the school is subject to its ability to meet the individual needs of the child.

For Non-native English speakers

Please outline any of your child's artistic, dramatic, musical or sporting skills or experience if applicable

and I or hobbies and interests.