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* 1. Parent Title:

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* 2. Parent First Name:

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* 3. Parent Surname:

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* 4. Address (including postcode):

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* 5. Email Address (Parent):

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* 6. Daytime Telephone Number:

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* 7. Student First Name:

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* 8. Student Surname:

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* 9. Student Date of Birth:

Date

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* 10. Student Gender:

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* 11. Boarding Type

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* 12. School Year of Entry

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* 13. Academic Year of Entry

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* 14. Select a visit option - Day Boarding:

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* 15. Select a visit option - Residential Boarding:

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* 16. How did you hear about Gordon's School?

T