Registration Form | Hurst College

In this section

Before filling in this Registration Form, please note:

You will be required to attach a photo. Please have this ready as you cannot save the form part way through.
You will be required to submit a non-refundable Registration Fee of £240. The link to make a payment online is on our Fees and Online Payments page. The Registration Form cannot be processed until this has been paid.
If you are applying for 11+ and 16+ entry and will be applying for a bursary, there is no requirement to pay the registration fee.

Registration Form for Hurst College

"*" indicates required fields

Section 1: Pupils' Personal Details

Surname of Child*

Forenames (in full)*

Preferred name

Gender*

Date of Birth*

Date format: DD/MM/YYYY

Nationality*

Child's first language*

Home Address*

Street Address Address Line 2 City County Postcode Country

Photo*

Please attach a photo of your child

Accepted file types: jpg, jpeg, png, Max. file size: 10 MB.

Passport*

please attach a copy of the photo page of your child’s passport

Accepted file types: jpg, jpeg, png, pdf, doc, docx, Max. file size: 10 MB.

Section 2: Place Required

Place Required*

Placement Type*

Proposed Year Group*

Proposed Date of Entry*

Section 3: Current School / Nursery / Playgroup (if applicable)

Name of School or Nursery*

If your child is not yet at a school or nursery please put n/a

Date of entry to current school*

If your child is not yet at a school or nursery please put n/a

Name of Head teacher*

As part of the Admissions process we will contact your child's current school for a confidential reference. If you DO NOT wish us to do this, please email admissions@hppc.co.uk

Section 4: Parents' Details

For every pupil applying to Hurst, the school is legally required to hold the details of both parents. Please complete details for each parent below. If you are the sole guardian, you need only supply details for yourself.

PARENT DETAILS

Parent 1: Relationship to child*

Title*

Surname*

First Name*

Email*

Mobile*

Work Phone

Nationality*

Occupation*

Use same address as child's

Yes

Address*

(if different to child's)

Street Address Address Line 2 City County Postcode Country

PARENT DETAILS

Parent 2: Relationship to child

Reasons for no second parent

Title*

Surname*

First Name*

Email*

Mobile*

Work Phone

Nationality*

Occupation*

Use same address as child's

Yes

Address

(if different to child's)

Street Address Address Line 2 City County Postcode Country

Contacts

Please mention here the names of any other family members attending Hurst, or registered for entry, or any other connection you have with the College

Section 5: Individual Needs

Do you wish to apply for supplementary means-tested bursarial support?*

Yes

Circumstances we should be aware of

Is your child registered for entry at any other school(s)*

Yes

Hurst is an academically selective school that integrates support for neurodivergence into our educational programme. This support is limited to mild to moderate traits in these areas. Please indicate if the child named on this registration form has been identified, has traits and/or may require provision for any of the following. If you are unsure whether your child is mild to moderate, please liaise with Admissions to clarify.

Support for neurodivergence

Specific Learning Difficulty (SPLD: Dyslexia; Dyspraxia; Dysgraphia; Dyscalculia)

Social, Emotional and Mental Health (ADHD; ADD; ASC; Anxiety)

Communication and Interaction (Speech and Language)

Sensory and Physical (Health care needs, including medication for any of the above; hearing/sight impairment)

If any of the above have been selected, please provide further details.

Please indicate whether the child named on this registration form is receiving support for any of the above, and/or if they are awaiting an assessment (please indicate the date of the assessment).

Please attach copies of any assessment reports related to any selections above.

File

Max. file size: 64 MB.

File

Max. file size: 64 MB.

File

Max. file size: 64 MB.

Section 6: Declaration

We (as the holders of parental responsibility¹ for this child) request that the name of the above-named child be registered as a prospective pupil of the College and we will make an online payment for the non-refundable Registration Fee.

By ticking the box below, we understand, accept and agree that:

registration of our child as a prospective pupil does not secure our child a place at the College but does ensure that our child will be considered for selection as a pupil at the College;
if our child is offered a place at the College, such an offer will be subject to the College's terms and conditions for the provision of educational services², which will bind us (as the holders of parental responsibility for this child) in the event (and from the moment) that we accept the place;
if applicable, the College may request from our child's present school or educational institution: (a) information and a reference in respect of our child; and/or (b) information about any outstanding fees and/or supplemental charges;
the College may process any personal data about us (or either of us) and our child, including sensitive personal data about our child (such as medical details), for the purposes of:
1. administering its list of prospective pupils;
2. its registration, selection and/or admission procedures, including as set out above; and
3. communicating with the parents of prospective pupils about the College and generally managing relationships between the College and its prospective pupils.

Parent 1 declaration*

I agree

By ticking this box, you confirm that this acts as an electronic signature

Print Name*

Relationship to child*

Date*

Parent 2 declaration*

I agree

By ticking this box, you confirm that this acts as an electronic signature

Print Name*

Relationship to child*

Date*

Parental responsibility is defined in the Children Act 1989 as "all rights, duties, powers and responsibilities and authority which by law a parent of a child has in relation to the child and his or her property". It equates to legal responsibility for the child. If you have any doubts about whether you do or do not have parental responsibility for the child you may wish to seek legal advice.
A copy of the current terms and conditions (known as the College's parent contract) is available for your information upon request at any time, but please note that the version of the parent contract supplied may be subject to change prior to the point in time when a place at the College for your child may be offered.

Please note:

On submission of this form, you will be asked to make an online payment for the non-refundable Registration Fee via our Fees & Online Payments page. A link will be provided on the next page. If payment is not made, your form will not be processed.

R e g i s t r a t i o n F o r m

Registration Form for Hurst College

Section 1: Pupils' Personal Details

Section 2: Place Required

Section 3: Current School / Nursery / Playgroup (if applicable)

Section 4: Parents' Details

Section 5: Individual Needs

Circumstances we should be aware of

Section 6: Declaration

Please note: