Child’s full name * Preferred name * Date of birth *
DD slash MM slash YYYY
Date of entry *
DD slash MM slash YYYY
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, at the bottom of this page
the School’s fees list, as varied from time to time.
I / We understand that I / we may cancel this agreement at any time within 14 days of the day following the School’s receipt of this acceptance form
only if the offer is made and accepted entirely at distance by means of post, fax or electronic communication.
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 or scholarship, 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 Parental responsibility *
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 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. I / 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 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 Privacy Notice and Pupil Privacy Notice. 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. 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. 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.
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 Signature of Parent(s) / Legal Guardian(s) I / We have paid 50 per cent of the joining term’s fees 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) First signatory Title (e.g. Mr, Mrs, Ms, Dr) * Name in full (please include all names) * Date of birth *
DD slash MM slash YYYY
Relationship to child * Occupation Name of employer E-mail address *
Telephone number * Emergency contact telephone number (if different) Address * Postcode * Please confirm * Signature * Second signatory Title (e.g. Mr, Mrs, Ms, Dr) Name in full (please include all names) Date of birth
DD slash MM slash YYYY
Relationship to child Occupation Name of employer E-mail address
Telephone number Emergency contact telephone number (if different) Address Postcode Please confirm Date
MM slash DD slash YYYY
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
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