Booking Form

Please note, all sections are mandatory to complete:

Book to attend our next Open Day *

3 October 2020 27 February 2021

Number of adult Open Day places required:*

1 2 3 4

Number of children for whom you are looking for a place at Millfield:*

1 2 3 4

Number of children attending the Open Day*

1 2 3 4

Is your child(ren) already registered with Millfield?*

Yes No

We also offer an informal tour of Millfield Prep School (ages 2-13) in the afternoon. Please indicate if you would be interested in attending this:

Yes No

Child 1

Child 1 Full Name*

Date of Birth* (dd/mm/yyyy)

Gender*

Male Female

Current School*

Proposed year of entry*

Year 9 (ages 13/14) Year 10 (ages 14/15) Lower Sixth (ages 16/17)

Academic Year of Entry*

Are you interested in Day or Boarding?*

Day Boarding

Do you have a second child looking for a place at Millfield?*

Yes No

Child 2

Child 2 Full Name*

Date of Birth* (dd/mm/yyyy)

Gender*

Male Female

Current School*

Proposed year of entry*

Year 9 (ages 13/14) Year 10 (ages 14/15) Lower Sixth (ages 16/17)

Academic Year of Entry*

Are you interested in Day or Boarding*

Day Boarding

Do you have a third child looking for a place at Millfield?*

Yes No

Child 3

Child 3 Full Name*

Date of Birth* (dd/mm/yyyy)

Gender*

Male Female

Current School*

Proposed year of entry*

Year 9 (ages 13/14) Year 10 (ages 14/15) Lower Sixth (ages 16/17)

Academic Year of Entry*

Are you interested in Day or Boarding?*

Day Boarding

Do you have a fourth child looking for a place at Millfield?*

Yes No

Child 4

Child 4 Full Name*

Date of Birth* (dd/mm/yyyy)

Gender*

Male Female

Current School*

Proposed Year of Entry*

Year 9 (ages 13/14) Year 10 (ages 14/15) Lower Sixth (ages 16/17)

Academic Year of Entry*

Are you interested in Day or Boarding?*

Day Boarding

Section 3

Title of Adult 1*

First name of Adult 1*

Surname of Adult 1*

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*

Are you or a family member an Old Millfieldian?*

Yes No

Title of Adult 2

Name of Adult 2

How did you hear about our Open Day?*

If other, please specify:

Please send a confirmation email to the address below*:

Please provide an email address where we can send a link to your current form.

Email Address :