ADDITIONAL INFORMATION Preparatory & Nursery School Baldslow, St. Leonards-on-Sea East Sussex TN37 7PW T. 01424 751555 F. 01424 754310 Senior School Bodiam, Robertsbridge East Sussex TN32 5UJ T. 01580 830396 F. 01580 830726 La Maison Claremont 14 rue de l Arbalète 62500, St. Omer, France enquiries@claremontschool.co.uk www.claremontschool.co.uk
CHILD Surname Forenames (in full) Date of Birth Boy/Girl Religious Denomination Nationality CLAREMONT SCHOOL Baldslow St. Leonards-on-Sea East Sussex TN37 7PW Tel: 01424 751555 Fax: 01424 754310 APPLICATION FOR ADMISSION For which Public School or Senior School is he/she intended? Name and address of previous School or Schools How did you hear of the School? Date when admission desired: Please use BLOCK LETTERS For Office Use App Dep Cash/Chq Ack DB A/c Date If there are any special circumstances or conditions of which the school should be made aware please tick the box and provide details on a separate sheet. [ ] 1. I am applying for a place in the Nursery School only 3. I am applying for a 2. I am applying for a place in the Nursery and Prep School place in the Prep School only PARENTS PARENT/GUARDIAN 1 PARENT/GUARDIAN 2 Title Forenames Surname Date of Birth Occupation Home address Postcode:... Home telephone: Work telephone: Mobile: Email: Postcode:... Form 8 Issue 10 260713 GW
CONTACT/CORRESPONDENCE ADDRESS Is the child s main address with: (please tick box) Parent 1 [ ] Parent 2 [ ] Both [ ] Other [ ] If other, please give the following information: Name(s) Relationship to child Address..... Home telephone: Work telephone: Mobile: Email:......... Postcode:... INVOICE ADDRESS Address for invoicing: (please tick box) Parent 1 [ ] Parent 2 [ ] Both [ ] Other [ ] If other, give address here:............ Postcode:... I hereby apply for (full name) to be considered for admission to Claremont School and enclose a 100.00 Application Fee and a 300.00 Refundable Deposit. I have read the school brochure and the current Fees Regulations and, if this application for a place is successful, I agree to pay fees in accordance with the Fee Regulations attached to this form and any subsequent updates. I also agree to be responsible for any legal costs or expenses reasonably incurred by Claremont School as a result of enforcing their rights under this Agreement. I accept by signing this form I am entering into a legally binding contract, and that I am jointly and severally liable with any other person who has signed this form for any breach of this Agreement. I give permission for photographs of my child to be taken and used by the school. I further agree to allow my children to be transported by the school s own transport if appropriate without further request by the school and to allow the school to authorise emergency medical treatment without further request should this ever be necessary. Signatures of Parents/Guardian: (1) (2) Print Names: (1) (2) Dated this day of 20 Please enclose an APPLICATION FEE of 100.00 (non-returnable) and a DEPOSIT of 300.00 (refundable) Information provided to Claremont School will be kept in accordance with the Data Protection Act 1998, and will be used for internal purposes only and will not be transferred to third parties without your prior consent.
CLAREMONT SCHOOL FEE REGULATIONS (Applicable to all children attending Claremont from September 2017 until further notice) APPLICATION FEE 1. In order to register and enrol a child for Claremont School it is necessary to complete an Application Form and return it to the school with a non-refundable Application Fee of 100.00 and a refundable Deposit of 300.00 and 500.00 for the Senior School (see separate conditions for Nursery School). On receipt of an Application Form the school will check availability of places and write to the parent confirming whether or not it is possible to admit the child in question (subject to Taster Days). FIXED DEPOSIT 2. The Deposit will be repaid only at the end of Year 8 or Year 11 LESS any deductions for unpaid Extras, fees, interest etc. FEES AND EXTRAS 3. Fees are due a term in advance and must be paid in full at the beginning of each term unless standing order arrangements have been agreed with the school prior to the start of term. Extras are due before the start of term to which they relate in order to guarantee their availability. Payment for Extras (Clubs, Activities, etc.) will only be accepted if fees have been paid in full or payment terms have been agreed. Common Entrance examination fees are payable by all Year 8 pupils without exception at the start of a pupil s first term in Year 8 and GCSE examination fees are payable at the start of Year 11. 4. The School will charge interest at a rate of 5% per month on overdue accounts. Such interest charge is without prejudice to the School s right to withdraw a place from a pupil whose fees are not paid before the first day of term. NOTICE OF WITHDRAWAL 5. Notice in writing, before the first day of term, is required where it is intended that a pupil should leave at the end of that term otherwise, fees in lieu of notice for the following term will be due in full at the prevailing rate. Notice sent by e-mail will not be accepted. 6. Similarly the school requires one full term's notice (as defined by the Claremont School Calendar) if a place in the school is accepted and subsequently not taken up. Otherwise, a term s fees in lieu of notice is payable. 7. Pupils in the Pre-Preparatory section are expected to transfer to the Preparatory section at the appropriate time. Pupils are expected to remain at Claremont School until they have sat Common Entrance examinations at the age of 13. Deposits are automatically forfeited if a child leaves before completing Year 8 or Year 11. INSURANCE 8. Fees are not remitted for absence from School for any reason. Parents are advised to consider appropriate insurance to cover prolonged periods of absence from School. 9. The School does not accept responsibility for the loss or damage of any personal effects brought to the School. GENERAL 10. It is the School s policy to set fees and review and amend fee regulations on an annual basis. However, the School reserves the right to adjust fees and fee regulations at any time without advance notice. I/We have read and understood these Fee Regulations, Fees and Charges on the reverse and agree to the conditions of this legally binding contract with Claremont School (St. Leonards) Ltd and the payment terms above and level of charges (overleaf). Signatures of Parents/Guardian (1) (2) Print Names: (1) (2) Dated this day of 20 Form 9 Issue 21 Page 1 of 2
DETAILS OF FEES AND CHARGES FOR THE ACADEMIC YEAR FROM SEPTEMBER 2017 NON-RECURRING CHARGES Application Fee non-refundable 100.00 Fixed Deposit (Senior School) refundable 500.00 Fixed Deposit (Main School) refundable 300.00 Fixed Deposit (Nursery School) refundable 300.00 PRE-PREPARATORY DEPARTMENT Reception Class (approx. age 4) per term: 2,200.00 Years 1 and 2 (approx. ages 5-7) per term: 2,600.00 PREPARATORY SCHOOL Year 3 (approx. ages 7-8) per term: 3,400.00 Years 4-8 (approx. ages 8-13) per term: 4,050.00 SENIOR SCHOOL AND SIXTH FORM Years 9, 10 and 11 per term: 5,550.00 Years 12 and 13 per term: 5,600.00 NURSERY SCHOOL see separate details SIBLING DISCOUNTS ON SCHOOL FEES The following discounts apply to Senior School, Preparatory School and Nursery School fees (excluding Butterflies for which no sibling or other discounts are available) for the period during which two or more children of the same family are in attendance at Claremont School. Oldest Child Second Child Third Child No reduction 10% discount on school fees 15% discount on school fees All cheques to be made payable to Claremont School and crossed Account Payee Only. Form 9 Issue 21 Page 2 of 2
cc NS Off Db CLAREMONT SCHOOL CHILD HEALTH RECORD 2017-2018 Child s Surname Forename(s) Date of Birth Has your child had, or been immunised against, any of the following? If so please enter details: MMR Yes/No Date: Tuberculosis Yes/No Date: Chicken Pox Yes/No Date: Diphtheria Yes/No Date: German Measles Yes/No Date: Whooping Yes/No Date: Small Pox Yes/No Date: Glandular Fever Yes/No Date: Rheumatic Fever Yes/No Date: Appendicitis Yes/No Date: Has he/she had any Tetanus injections? If so, please give details - Has he/she had the HIB (Meningitis) immunisation? Does he/she suffer from any of the following? If so please give details: Asthma Hay Fever Migraine Headaches Convulsions Heart Problems Anaphylaxis Problems with Eyes/Eyesight Problems with Ears/Hearing Does he/she need to take any medication? Does he/she have any allergies of any kind? Does he/she have any dietary requirements? Does he/she have an Epi-pen? IF THERE ARE ANY OTHER MEDICAL CONDITIONS OR REQUIREMENTS OF WHICH THE SCHOOL SHOULD BE MADE AWARE? PLEASE TICK THE BOX AND PROVIDE DETAILS ON A SEPARATE SHEET. [ ] DOCTOR Name: Telephone: DENTIST Name: Telephone: MEDICATION [ ] I give permission for my child to be given the following medication as directed on the packaging if it is deemed necessary by the school staff. [ ] Calpol [ ] Paracetamol Signature of Parent/Guardian. Date... Form 13 Issue 12 Page 1 of 2
EMERGENCY CONTACT DETAILS Telephone Numbers (local if possible and mobiles) of people who can be contacted IN AN EMERGENCY IF PARENTS CANNOT BE CONTACTED (at least one contact must be provided) (1) NAME: (2) NAME: RELATIONSHIP: RELATIONSHIP: HOME TEL NO: HOME TEL NO: MOBILE TEL NO: MOBILE TEL NO: (3) NAME: (4) NAME: RELATIONSHIP: RELATIONSHIP: HOME TEL NO: HOME TEL NO: MOBILE TEL NO: MOBILE TEL NO: CHANGE OF PARENT/GUARDIAN DETAILS To ensure the School Office has the most up to date parent/home details of each child, please complete the fields below: FATHER MOTHER OTHER Title Surname Forenames Occupation Home address............................................. Postcode:... Postcode:... Postcode:... Home telephone: Work telephone: Mobile: Email: Signature of Parent/Guardian. Date. Form 13 Issue 12 Page 2 of 2
AGE VACCINATION DATE GIVEN 2 months 5-in-1 (DTaP/IPV/Hib) This single jab contains vaccines to protect against five separate diseases: diphtheria, tetanus, whooping cough (pertussis) polio and Haemophilus influenza type b (known as Hib, a bacterial infection that can cause severe pneumonia or meningitis in young children. Pneumococcal (PCV) Meningitis B (started 05/15) Rotavirus oral drops to protect against a gastroenteritis 3 months 5-in-1 (DTaP/IPV/Hib) Second dose Meningitis C (discontinued 07/16) Rotavirus Second dose 4 months 5-in-1 (DTaP/IPV/Hib) Third dose Meningitis B Second dose Pneumococcal (PCV) Second dose 12 to 13 months 2,3 and 4 years Hib/Men C booster Given as a single jab containing meningitis C (second dose) and Hib (fourth dose) Measles, mumps and rubella (MMR) Given as a single jab Pneumococcal PCV Third dose Meningitis B Third dose Child s nasal flu vaccine 3 years and 4 months preschool booster 12 to 13 years girls only 13 to 15 years (year 10) MMR Second dose 4-in-1 (DTaP/IPV) given as a single jab containing vaccines against diphtheria, tetanus, whooping cough(pertussis) and polio. HPV Gardasil. Protects against cervical cancer. Two injections given between six months and 2 year apart. 3-in-1 (Td/IPV) booster. Given as a single jab and contains vaccines against diphtheria, tetanus and polio. Meningitis ACWY 18-25 years Meningitis ACWY Catch up. Name: Date of Birth: Parent s signature: NMS August 2017
CLAREMONT SCHOOL HEALTH CENTRE Claremont School FOUNDED 1925 Voicemail: 01580 239965 CLAREMONT SCHOOL HEALTH CENTRE 01580 239974 Mobile: 07827 33 8086 UNITED KINGDOM VACCINATION SCHEDULE healthcentre@claremontschool.co.uk 2017 / 2018 NMS August 2017