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Open Day Booking Form
Please note, all sections are mandatory to complete:
One or more field(s) does not contain the required information. Please complete below where highlighted.
Section 1
Which Open Day are you looking to attend:
6 October 2012
Number of Open Day places required:
Adults:
1
2
3
4
Children:
1
2
3
4
We also offer an informal tour of Millfield Prep School (ages 7-13) in the afternoon. Please indicate if you would be interested in attending this:
Yes
No
Section 2
Please complete Section 2 for ONLY those child/ren attending the Open Day who you are looking for a place for at Millfield
Child 1
Childs full name:*
Year 9 (ages 13/14)
Year 10 (ages 14/15)
Lower Sixth (ages 16/17)
Proposed year of entry*:
select
2012
2013
2014
2015
2016
2017
2018
2019
2020
Academic year of entry*:
Date of Birth*:
Female
Male
Gender*:
Boarding
Day
Are you interested in Day or Boarding*?
Academic
Careers/Higher Education
Learning Support
Art
Drama
Dance
Music
Cricket
Swimming
Riding
Tennis
Rugby
Hockey
Football
Golf
Other:
Please tick all areas that your child is particularly interested in:
Child 2
Childs full name:*
Year 9 (ages 13/14)
Year 10 (ages 14/15)
Lower Sixth (ages 16/17)
Proposed year of entry*:
select
2012
2013
2014
2015
2016
2017
2018
2019
2020
Academic year of entry*:
Date of Birth*:
Female
Male
Gender*:
Boarding
Day
Are you interested in Day or Boarding*?
Academic
Careers/Higher Education
Learning Support
Art
Drama
Dance
Music
Cricket
Swimming
Riding
Tennis
Rugby
Hockey
Football
Golf
Other:
Please tick all areas that your child is particularly interested in:
Child 3
Childs full name:*
Year 9 (ages 13/14)
Year 10 (ages 14/15)
Lower Sixth (ages 16/17)
Proposed year of entry*:
select
2012
2013
2014
2015
2016
2017
2018
2019
2020
Academic year of entry*:
Date of Birth:
Female
Male
Gender:
Boarding
Day
Are you interested in Day or Boarding?
Academic
Careers/Higher Education
Learning Support
Art
Drama
Dance
Music
Cricket
Swimming
Riding
Tennis
Rugby
Hockey
Football
Golf
Other:
Please tick all areas that your child is particularly interested in:
Child 4
Childs full name:*
Year 9 (ages 13/14)
Year 10 (ages 14/15)
Lower Sixth (ages 16/17)
Proposed year of entry*:
select
2012
2013
2014
2015
2016
2017
2018
2019
2020
Academic year of entry*:
Date of Birth:
Female
Male
Gender:
Boarding
Day
Are you interested in Day or Boarding?
Academic
Careers/Higher Education
Learning Support
Art
Drama
Dance
Music
Cricket
Swimming
Riding
Tennis
Rugby
Hockey
Football
Golf
Other:
Please tick all areas that your child is particularly interested in:
Section 3
Contact Details
Title and Name of Adult 1:*
(e.g. Mr Thomas Smith)
House or Flat name/number*
Address 1*
Address 2*
County (or country if outside the UK)*
Post/Zip code*
Contact Telephone Number*
Contact Email Address*
How did you hear about our Open Day?*
select
Recommendation
Website
Press Advert
Exhibition/Fair
Flyer/Poster
Other
If you selected Other, please give details:
To help prevent spam, type the word millfield in the answer box - do not use capital letters*
