4+ Applications Step 1 of 5 0% The registration fee is £125. All registration fees are paid to Channing School and are non-refundable.Clicking your browser's BACK button will delete entries. If you wish to go back a step, use the PREVIOUS button found at the bottom of each form.Applicant DetailsFirst Name(s)*Known As (if different from above)Surname*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Proposed Year of Entry*202020212022202320242025Nationality*First Language (spoken at home)*Religion (if any) Parent / Guardian 1Title*First Name(s)*Surname*Relationship to Applicant*Address* Name/Number and Street Address Line 2 Town/City County AberdeenshireAngus/ForfarshireArgyllshireAyrshireBanffshireBedfordshireBerkshireBerwickshireBlaenau GwentBridgendBuckinghamshireButeshireCaerphillyCaithnessCambridgeshireCardiffCarmarthenshireCeredigionCheshireClackmannanshireConwyCornwallCromartyshireCumberlandDenbighshireDerbyshireDevonDorsetDumfriesshireDunbartonshire/DumbartonshireDurhamEast Lothian/HaddingtonshireEssexFifeFlintshireGloucestershireGwyneddHampshireHerefordshireHertfordshireHuntingdonshireInverness-shireIsle of AngleseyKentKincardineshireKinross-shireKirkcudbrightshireLanarkshireLancashireLeicestershireLincolnshireLondonMerthyr TydfilMiddlesexMidlothian/EdinburghshireMonmouthshireMorayshireNairnshireNeath Port TalbotNewportNorfolkNorthamptonshireNorthumberlandNottinghamshireOrkneyOxfordshirePeeblesshirePembrokeshirePerthshirePowysRenfrewshireRhondda Cynon TaffRoss-shireRoxburghshireRutlandSelkirkshireShetlandShropshireSomersetStaffordshireStirlingshireSuffolkSurreySussexSutherlandSwanseaTorfaenVale of GlamorganWarwickshireWest Lothian/LinlithgowshireWestmorlandWigtownshireWiltshireWorcestershireWrexhamYorkshire Postcode Home TelephoneMobile*Email* Occupation*Parent / Guardian 2TitleFirst Name(s)SurnameRelationship to ApplicantIs the address of Parent/Guardian 2 the same as Parent/Guardian 1?*YesNoAddress Name/Number and Street Address Line 2 Town/City County AberdeenshireAngus/ForfarshireArgyllshireAyrshireBanffshireBedfordshireBerkshireBerwickshireBlaenau GwentBridgendBuckinghamshireButeshireCaerphillyCaithnessCambridgeshireCardiffCarmarthenshireCeredigionCheshireClackmannanshireConwyCornwallCromartyshireCumberlandDenbighshireDerbyshireDevonDorsetDumfriesshireDunbartonshire/DumbartonshireDurhamEast Lothian/HaddingtonshireEssexFifeFlintshireGloucestershireGwyneddHampshireHerefordshireHertfordshireHuntingdonshireInverness-shireIsle of AngleseyKentKincardineshireKinross-shireKirkcudbrightshireLanarkshireLancashireLeicestershireLincolnshireLondonMerthyr TydfilMiddlesexMidlothian/EdinburghshireMonmouthshireMorayshireNairnshireNeath Port TalbotNewportNorfolkNorthamptonshireNorthumberlandNottinghamshireOrkneyOxfordshirePeeblesshirePembrokeshirePerthshirePowysRenfrewshireRhondda Cynon TaffRoss-shireRoxburghshireRutlandSelkirkshireShetlandShropshireSomersetStaffordshireStirlingshireSuffolkSurreySussexSutherlandSwanseaTorfaenVale of GlamorganWarwickshireWest Lothian/LinlithgowshireWestmorlandWigtownshireWiltshireWorcestershireWrexhamYorkshire Postcode MobileEmail Occupation Additional Applicant InformationDoes the Applicant have any special needs we should take into account for the admissions procedure, or in the future?YesNoPlease give details of any special educational needs or medical condition(s):Please upload details in a confidential file with a professional report (if one is available)Accepted file types: pdf, doc, docx.Family Connection to the SchoolName(s) of any immediate family members who are current or former pupils of Channing SchoolAdditional InformationIf there is anything else we need to know for the admissions process please provide detailsEthnic Origin of Applicant*Any Other Asian BackgroundAny Other Black BackgroundAny Other Ethnic BackgroundAny Other Mixed BackgroundAny Other White BackgroundBangladeshiBlack AfricanBlack CaribbeanChineseIndianPakistaniWhite / AsianWhite / Black AfricanWhite / Black CaribbeanWhite BritishWhite IrishWhite: Irish Heritage TravellerOtherThis Information is requested to ensure that we comply with our Equal opportunities policy.How did you hear about Channing School?*AgentCurrent Parent/PupilCurrent School/NurseryCurrent Staff/ Ex-StaffEducational CharityEducational DirectoryFriendsFormer PupilGood Schools GuideISC WebsiteLocal ReputationLocal AdvertisementNational Newspaper ArticleRelativeResearchTutor RecommendationWebsiteWord of Mouth Education DetailsPresent Nursery / School*Head Teacher*To whom reference request will be sent.Address* Name/Number and Street Address Line 2 Town/City County AberdeenshireAngus/ForfarshireArgyllshireAyrshireBanffshireBedfordshireBerkshireBerwickshireBlaenau GwentBridgendBuckinghamshireButeshireCaerphillyCaithnessCambridgeshireCardiffCarmarthenshireCeredigionCheshireClackmannanshireConwyCornwallCromartyshireCumberlandDenbighshireDerbyshireDevonDorsetDumfriesshireDunbartonshire/DumbartonshireDurhamEast Lothian/HaddingtonshireEssexFifeFlintshireGloucestershireGwyneddHampshireHerefordshireHertfordshireHuntingdonshireInverness-shireIsle of AngleseyKentKincardineshireKinross-shireKirkcudbrightshireLanarkshireLancashireLeicestershireLincolnshireLondonMerthyr TydfilMiddlesexMidlothian/EdinburghshireMonmouthshireMorayshireNairnshireNeath Port TalbotNewportNorfolkNorthamptonshireNorthumberlandNottinghamshireOrkneyOxfordshirePeeblesshirePembrokeshirePerthshirePowysRenfrewshireRhondda Cynon TaffRoss-shireRoxburghshireRutlandSelkirkshireShetlandShropshireSomersetStaffordshireStirlingshireSuffolkSurreySussexSutherlandSwanseaTorfaenVale of GlamorganWarwickshireWest Lothian/LinlithgowshireWestmorlandWigtownshireWiltshireWorcestershireWrexhamYorkshire Postcode School Email* Telephone Number* PaymentRegistration Fee* Price: £ 125.00 All registration fees are paid to Channing School and are non-refundable.Make Payment* American ExpressDiscoverMasterCardVisaJCBMaestro Card Number Expiration Date Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Security Code Cardholder Name Privacy & Admission Policies* I have read and agree to your Privacy and Admission Policies Our policies can be found on the Applications page.Untitled This iframe contains the logic required to handle Ajax powered Gravity Forms.
