Apply

Fairfield Prep School

This form is for applications to Fairfield Prep School. Please note, your application will be processed as soon as we receive this form and your non-refundable registration fee (see details below).

Please complete and submit the form below. Fields marked * are mandatory. If you wish to apply for more than one candidate please complete the form again.

If you have any questions, please call us on +44 (0)1509 215172 or email fairfield.admissions@lsf.org

Candidate's Details

Legal Surname*

Legal Forename(s)*

Preferred Forename/Known As

Date of Birth*

Nationality*

First Language*

Year of Entry

Current Year Group (If applicable)*

Gender of Candidate

Boy
Girl

Names of close relatives at, or having attended, Loughborough Schools Foundation, their relationship to candidate and school attended.

Year Group Applying For (please tick)*

Kindergarten:

Full time
Part time: 4 days
Part time: 3 days

If part time is required, please indicate preferred days:

Monday
Tuesday
Wednesday
Thursday
Friday

Year Group:

Preferred start date*

Additional Comments

Current School/Nursery Details

Name of Current School/Nursery

Name of Head/Nursery Manager

Address of School/Nursery

Postcode

Email Address of Current School/Nursery

Date Joined Current School

Parent/Legal Guardian Details

Parent Legal/Guardian 1

Title*

Forename(s)*

Surname*

Relationship to candidate*

Address*

Street Address Address Line 2 City County Postcode

Home Phone*

Mobile Phone

Email Address*

Occupation*

Employer*

Add additional parent/legal guardian?

Yes

Parent Legal/Guardian 2

Title*

Forename(s)*

Surname*

Relationship to candidate*

Is your address the same as above?

Yes

Address*

Street Address Address Line 2 City County Postcode

Home Phone*

Mobile Phone

Email Address*

Occupation*

Employer*

Where parents have separated or divorced, please state with which parent the candidate resides.

Entrance Exam Access Arrangements

A candidate who is eligible may be given an appropriate adjustment in relation to entrance assessments, subject to documentary evidence being provided.

Please indicate here if you wish to discuss further.

Yes

Therefore, if the candidate has had a specialist assessment diagnosing a learning difficulty or disability, for example an educational psychologist's report, medical report, occupational therapist's report, please give brief details on a separate sheet and attach a copy of the most recent report. If the candidate suffers from any medical or physical incapacity of which we should be aware, please five details below.

Medical or physical condition

Further Details

Please use this space to provide any further details relative to any matter about which you feel we should be aware.

Data Protection

I understand that information from this form may be processed for purposes by Loughborough Schools Foundation under the Data Protection Act 2018 and that individuals have, on written request, the right of access to personal data held about them. For the purposes of compliance with the Data Protection Act 2018, in completing and submitting this form I hereby give my consent to Loughborough Schools Foundation to process the personal and sensitive data supplied in the Registration Form for the purposes of administering its lists of prospective pupils.*

Please tick here to show you have read and understood the above.

Registration Fee £50 per candidate

Payment can be made either by bank transfer using the following details or by cheque (payable to Loughborough Schools Foundation):

Loughborough Schools Foundation
Current a/c no. 08171610 Sort Code 601410
Reference: FDRF and the candidate's surname

Bank Transfer

I have paid by bank transfer

Date payment was made

Cheque

I have paid by cheque

Date cheque was sent or delivered to school

School email

School telephone

Please verify

Phone

This field is for validation purposes and should be left unchanged.

The Loughborough
Schools Foundation

The Loughborough Schools Foundation

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The Loughborough
Schools Foundations

The Loughborough Schools Foundations

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