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Application Form

Completing and returning the Registration Form and fee will mean that your child will be held on our Registrations List for the requested point of entry and a nursery or school place reserved. We are a selective school and school places are offered subject to successful completion of an age appropriate assessment and at the discretion of the Headteacher.

Please complete and return the Registration Form, together with your non-refundable registration fee of £50.00  (Nursery/Reception Year) or £100.00 (rest of school) and a copy birth certificate to the Admissions Office, Manor House School, Manor House Lane, Little Bookham, Surrey KT23 4EN email For bank transfers, the details are: Little Bookham Manor House School, sort code 30-00-09, Account No. 02040373 (referenced with your child’s name).

    Are you a former pupil?

    Does your child have?

    A learning support requirementDisabilityMedical Condition

    Please indicate how you first heard of Manor House School:

    Local AwarenessCurrent SchoolFriendsAdvertisementOther

    Mother/1st Guardian:
    By emailBy post

    Father/2nd Guardian:
    By emailBy post


    a) Parents are separated or divorced or if there are any Court Orders in relation to the child as to parental responsibility and/or if there is any other person whose consent should be obtained for the child coming to the School or Nursery.

    b) A child may be unable to play a full part in the activities and sporting curriculum of the School or Nursery.

    c) This child is subject to or has ever been subject to a Child Protection Plan. When your child secures a place at Manor House School/Nursery, a deposit of £500 (Nursery or Reception) or £800 (rest of school) will be requested to secure their place. The deposit is refunded at the end of their education, less any extras incurred during the last term. A full term’s notice in writing or a term’s fees in lieu of notice are required before the removal of a child from the school.


    We request that our/the above-named child be registered as a prospective pupil. A cheque made payable to Manor House School is enclosed or a bank transfer has been completed for the nonreturnable registration fee of £50 (for Nursery or Reception entry) or £75 (for rest of school entry). We understand that the School/Nursery (through the Head, as the person responsible) may obtain, process and hold personal information about our child, including sensitive information such as medical details, and we consent to this for the purposes of assessment and, if a place is offered, in order to safeguard and promote the welfare of the child.