Little Beacons Acceptance Form

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Child’s full name*

Preferred name*

Date of birth*

Date of entry*

I / We accept the place which has been offered to us for my / our child (named above), on the terms of:

the letter containing that offer together with any Conditions of Award attached
this acceptance form
the School’s Terms and Conditions, enclosed within the offer letter
the School’s fees list, as varied from time to time.

I / We acknowledge receipt of a copy of the current School rules which I / we have read and have drawn to my / our child's attention.

Cancellation Rights

If the offer of a place and its acceptance are both made entirely at distance by means of post or electronic communication without either of the Parents meeting face to face with a member of the School staff the Parents have the right to cancel this agreement at any time within 14 days of the day after We receive Your completed and signed acceptance form. Information about the right to cancel and how to cancel is set out in the School’s cancellation notice and form published on the School website. In such circumstances the Acceptance Deposit will be refunded together with any Fees paid pro-rated if the School has provided any educational services under this agreement.

Immigration Status

Where applicable I / we enclose a copy of my / our child's passport, birth certificate and immigration status documentation confirming his right to enter the UK and study at the School. Where he holds a dependent visa, I /we also enclose a copy of my / our passport(s) and immigration status documentation confirming my / our right to entre and live in the UK. Please see clause 9.12.3 in the School's Terms and Conditions.

Declarations by the signatories to this acceptance form

I / We declare as individuals and jointly that:

1 Terms and conditions: Before signing this acceptance form I / we have read and understood and I / we agree to the School’s Terms and Conditions and, where appropriate, the Conditions of Award of a bursary which will undergo reasonable change from time to time. I / We have retained a copy of the School’s Terms and Conditions with our records.

2 Disclosures: I / We have already provided and will continue to provide details of any medical condition, health problem or allergy affecting my / our child; any learning difficulty, disability, or special educational need of my / our child, as well as any behavioural, emotional and / or social difficulty of my / our child (for example dyslexia, dyspraxia, attention deficit disorder, visual or hearing impairment or any condition requiring use of a wheelchair). I / We attach in confidence details of any relevant information received since my / our previous disclosure.

3 Medical matters: I / We will complete in confidence the School’s Contact and Medical Details Form and will continue to provide all relevant information about any medical condition, health problem, or allergy which affects my / our child and / or which may prevent my / our child from taking a full part in the School’s academic and games or sports curriculum, outdoor activities and educational visits or if my / our child has been in contact with anyone with an infectious or contagious disease.

4 Court orders: Where I am / we are separated or divorced, I / we have informed the School of this. I / We have also disclosed all court orders or criminal proceedings in relation to my / our child and all court orders, criminal proceedings, statutory demands or bankruptcy petitions relating to either parent (including any court orders relating to financial matters). I / We will disclose any subsequent court orders, criminal proceedings, statutory demands or bankruptcy petitions to the School.

5 Sanction and Political Exposure: I / We are not Designated Persons under any UK enactment and will inform the School immediately if at any time we become Designated person(s). We will inform the School immediately if at any time we are Politically Exposed Persons.

6 Parental responsibility*

I / We both have parental responsibility (i.e. legal responsibility) for the child named above. I / We confirm that no other person’s consent is required for the child to attend the School.

I / We have disclosed written consent to the child joining the School from all others with parental responsibility for the child.

If any person signing this acceptance form does not have parental responsibility for the child please provide a brief written explanation of the relationship between that person and the child together with the name(s) of all others with parental responsibility for the child.

Parental responsibility details

7 Current and Previous Schools: I / We confirm that fees payable to my / our child’s current and any previous schools have been paid or will be paid in full before my / our child enters the School. Except as disclosed in a confidential letter attached to this acceptance form, my / our child has not been withdrawn from or been asked to leave another school as a result of misconduct and is not under investigation and has not been convicted of any criminal offence.

We understand that the School may at any time make enquiries of my / our child’s current or previous schools for confirmation that all sums due and owing to such school(s) have been paid. I / We understand that the School may inform any other school or educational establishment to which I / we propose sending my / our child if any Fees of this School are unpaid. I / We also understand that the School may make reasonable enquiries of relevant third parties (for example credit reference agencies) about my / our financial means in appropriate circumstances.

Please see Section 9 of the School’s Terms and Conditions for further information about Notice, Cancellation and Withdrawal. Except where the cancellation rights described above apply or where otherwise provided in the School’s Terms and Conditions I / we will not cancel my / our acceptance of this place or withdraw my / our child from the School without first giving a Term’s Written Notice or paying a Term’s Fees in lieu of Notice in accordance with the School’s Terms and Conditions.

I / We confirm that before signing this acceptance form, I / we have seen or had an opportunity to see all the documents referred to in the School’s Terms and Conditions, including the School’s Data Protection Policy, Parent and Pupil Privacy Notice, Parents' Handbook and the Behavior Policy.

I / We confirm that the declarations made on this acceptance form are true and that I / we have disclosed all information required in the declarations. I / we understand and agree that the School has the right to terminate this contract for educational services immediately if any declaration is found to be untrue.

I / We have paid £1,500 joining fee being the Acceptance Deposit which will be held without payment of interest in the general account of the School in accordance with the School’s Terms and Conditions referred to above. Please do a bank transfers to: Bank: NatWest; Account name – The Beacon Educational Trust Ltd; Account number - 07126468; Sort code - 60-01-15 (please use your child’s name as reference)

Authorities given by the signatories to this acceptance form

I / We give the following express authorities on behalf of myself / ourselves and (so far as I am / we are entitled to do so) on behalf of my / our child.

I / We consent to the School providing educational services to my / our child if he starts as a pupil at the School within 14-days of the date of this acceptance form.

Where my / our child is sponsored by the School for a Child Student visa I / we consent to the arrangement for my / our child's visa application, travel, reception and care arrangements in the UK.

I / We consent to my / our child taking part in all educational visits and activities which take place off school premises while he is a pupil at the School.

I / We consent to the Pupil travelling by any form of public transport and / or in a motor vehicle driven by a responsible adult who is duly licensed and insured to drive a vehicle of that type.

How we use your information

For more information about how the School will use your information, and your child’s information, please see our Pupil & Parent Privacy Notice which can be found at the end of this form.

If your child is going to enter Year 7 or above, he has the maturity to exercise his own data protection rights. Therefore please show him a copy of the Pupil Privacy Notice and discuss it with him.

Signature of Parent(s) / Legal Guardian(s)

First signatory

Title (e.g. Mr, Mrs, Ms, Dr)*

Name in full (please include all names)*

Date of birth*

Relationship to child*

Occupation

Name of employer

E-mail address*

Telephone number*

Emergency contact telephone number (if different)

Address*

Postcode*

Please confirm*

I accept the terms detailed above

Signature*

Second signatory

Title (e.g. Mr, Mrs, Ms, Dr)

Name in full (please include all names)

Date of birth

Relationship to child

Occupation

Name of employer

E-mail address

Telephone number

Emergency contact telephone number (if different)

Address

Postcode

Please confirm

I accept the terms detailed above

Signature

Date

If there are any matters of which we ought to be aware before your child enters the School, or once here please send a confidential letter addressed to the Headmaster

Second emergency contact

If only one person is to sign this acceptance form, the School requires You to complete the details below for a second person who You authorise Us to contact in an emergency.

By signing this acceptance form you confirm that the second emergency contact has agreed to act in that capacity

Full name

Address

Postcode

Relationship to child

Emergency contact telephone number

Requested Sessions*

Please indicate your requested sessions for Little Beacons Nursery (you will have the opportunity to amend these before your son joins the Nursery).

The Beacon Educational Trust Limited: a Company Limited by Guarantee, Registered in England, Company Number: 01067862. Registered Office: The Beacon, Amersham Road, Chesham Bois, Amersham, Buckinghamshire HP6 5PF, Registered Charity Number: 309911

Little Beacons Acceptance Form

We are delighted your child will be joining The Beacon.