Pupil's Details

Parents/guardians/agents of ALL International pupils must complete this entire form

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* 1. Pupil's First Name
Pupil's Full Forename

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* 2. Pupil's Surname
Pupil's Last Name

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* 3. Preferred/English name (if different)

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* 4. Boarding House

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* 5. Date of Birth (Pupil)

Date

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* 6. Mobile Telephone Number (Pupil)

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* 7. Email address (Pupil)
Please use their @mountkelly.com email address

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* 8. Parent/guardian/agent Telephone Number
A contact number (including non-UK country extension) valid for the dates of travel

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* 9. As the parent/guardian/agent, I require that the Mount Kelly Transport Officer to arrange transport for the pupil named above.

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* 10. Please give full details of the travel arrangements you have made for the named child. (ie. Taxi company & contact phone number, train times etc)

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 25% of survey complete.

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