Child’s Preferred First Name Child’s Date of Birth (dd/mm/yyyy) * DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / MM 1 2 3 4 5 6 7 8 9 10 11 12 / YYYY 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Is your child British or Swiss or from a country within the European Economic Area? * If you answered NO to the above, please state your child's nationality * Proposed Year of Entry * --- 2023 2024 2025 2026 Proposed Year Group for Entry --- Little Malties Nursery Reception Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Proposed Month of Entry (Little Malties Day Care Only) --- January - For girls born between 1 September and 31 December inclusive April - For girls born between 1 January and 1 April inclusive September - For girls born between 2 April and 31 August inclusive
Pupils are eligible to join in the term after their second birthday. Please select the month according to your daughter's date of birth.
Age on entry Signatory Details
First Signatory Title * --- Mrs Miss Ms Mr Dr Relationship to Child * Phone Number * Email * Occupation/Employer * Second Signatory (if applicable) Title --- Mrs Miss Ms Mr Dr Relationship to Child Phone Number Email Occupation/Employer If someone other than the first and second signatories is to pay the School fees for your child, please provide their full name and address and their relationship to your child Other Payee Details Other People with Parental Responsibility
Please provide the name(s) and current address(es) of any other person with parental responsibility (i.e. legal responsibility) for the above named child. This may be a legal guardian or step parent, and their consent to the child attending the School will be required if an offer of a place is made.
Title --- Mrs Miss Ms Mr Dr Connections with the School Please mention here the names of any other members of the family attending the School or registered for entry; or any other connection with the School Current School (if applicable) Name of current school Address of current school Name of current school's head Alternative Collection Arrangements (Little Malties Day Care Only)
If there may be occasions when the Parents will not be able to collect their child from Little Malties, please provide a name, telephone number and address of two people who you authorise to collect your child in your absence. A member of the Little Malties team will need to meet these people in your presence before we will allow your child to be collected by them.
First collector name and telephone number Second collector name and telephone number Sessions Required (Little Malties Day Care Only)
Please tick the sessions you require. A minimum of 5 sessions is required (a session being half a day).
Please tell us how you FIRST became aware of Maltman's Green. * --- Internet search Word of mouth Social media Staff member Current/past Maltman's Green pupil/parent Current school/nursery Online schools listing Relocation/Estate Agent Press Print Advert Online Advert Live locally Not sure, I've just always been aware of the School Other Other (Please Specify) Please disclose any medical condition, health problem or allergy affecting your child. If applicable to your child, it will also help us plan for their arrival if you can let us know of any of the following: If you have checked one of the above, please provide us with as much detail as possible.
Where possible, please provide any relevant documentation such as medical reports, assessments etc. by attaching them at the end of this form or emailing to
firstname.lastname@example.org referencing your application. The information provided will enable the School to consider any adjustments that it may need to make to assist your child to partake in the School’s admissions procedure or when she enters the School. Prior to the commencement of the admissions process, we will contact you about any special arrangements your child may require.
The information requested on this form is needed because the School has contractual and statutory duties towards your child. For more information about how the School will use your information, and your child’s information, please see our pupil privacy notice and our parent privacy notice. Both of these documents are provided with the letter of offer and are published on the School’s website under About > Policies & Procedures.
How we will use the information provided in this form
This information will be used by the School during the admissions process in order to manage and assess your application and your child’s suitability for a place at the School. For example we may contact your child’s current or previous school to ask for a reference; we may contact other people with parental responsibility to check that they consent to your child joining the School; the Confidential Information Form will be used to ensure that we have made any reasonable adjustments/suitable arrangements for your child when they visit the School or during any entrance assessments and subsequently if they are offered a place; we may share your information with credit reference agencies.
If your child is not offered a place, or if you do not accept the offer of a place, we will only retain this information for as long as we need to. Unless there are exceptional circumstances, information is kept for a year after the end of the admissions process. For more information about how the School will use your information, and your child’s information, please see our pupil privacy notice and our parent privacy notice. Both of these documents are provided with the letter of offer and are published on the School’s website under About > Policies & Procedures.
Do you have a sibling currently attending the school? *
If you tick yes you will not be asked to pay the registration fee.
Upon completion the form will direct you to PayPal to pay your registration fee.