Student Name (as per Passport/Birth Certificate) *
Student Name (as per Passport/Birth Certificate)
Gender *
(List all passports held)
Proposed Date of Entry to Halcyon *
Proposed Date of Entry to Halcyon
What will be the age of the student at the date of entry into Halcyon School.
Does the student need support for English? *
Does the student wish to study their mother tongue/an additional language?
Has your child participated in any of following programmes?
Does the student have any of the following?
(Check the box/es as applicable)
include postal/zip code and country
Has the student ever been suspended, expelled or asked to leave any school/s? *
Has the student ever been held back a year or put forward a year? *
With whom does the student live? *
include postal code
Please indicate date of move
Please indicate date of move
1st Parent Contact *
please state relationship to student
Name of 1st Parent Contact *
Name of 1st Parent Contact
(passports held)
Would you like to receive notices and messages from the school to the above email address?
(if different from Student Home Address)
include postal/zip code and country
2nd Parent Contact
please state relationship to student
Name of 2nd Parent Contact
Name of 2nd Parent Contact
(passports held)
Receive notifications?
(if different from 1st Parent Contact)
include postal/zip code and country
Who will be responsible for paying the school fees? *
(if different from Student Home Address)
How did you first hear about Halcyon London International School? *
We'd like to learn more about your child and you...
100-350 words suggested
100-350 words suggested
100-350 words suggested
100-350 words suggested
100-350 words suggested
100-350 words suggested
100-350 words suggested
100-350 words suggested
100-350 words suggested
100-350 words suggested
100-350 words suggested
Do you have any concerns regarding your child’s transition? *
Are there any current/past circumstances which may affect your child (eg: divorce, bereavement, accidents, disability, illness, family circumstances, etc.)? *
1) I/We understand that the School (through the Director, as the person responsible) may obtain, process and hold personal information about me / us which may include financial information provided by me / us or by any licensed credit reference agency or information contained in any court orders, petitions or proceedings. *
2) I/We understand that the School may also obtain, process and hold personal information about our child which may include sensitive information such as medical details, and we consent to this for the purposes of assessment and, if a place is later offered, in order to safeguard and promote the welfare of the child. *
3) I/We consent to the School making enquiries of my child's previous schools for confirmation that all sums due and owing have been paid. *
4) I certify that all information I will provide or have provided for this application is accurate and complete and that no information has been withheld. I understand that if the information I will provide or have provided is not accurate or complete or if I fail to disclose or provide all relevant and requested reports and results, the School may be unable to provide services or accommodations and may withdraw the offer of admission or exclude or request the withdrawal of the applicant at any date. *
Check this box in lieu of a signature and state your full name and date of application below *