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*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Proposed 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 upload details in a confidential file with a professional report (if one is available)Accepted file types: pdf, doc, docx.Additional InformationIncluding details of any immediate family members who are present/former pupils, further information regarding languages spoken at home, other information relating to special needs etc.Ethnic 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 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 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. 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