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Prospectus Request

All fields marked (*) are mandatory.

1) Contact Name

Title

If Other Please State Here:

Forename *

Middle Initial(s)

Surname *

Relationship to prospective pupil
(ie parent, grandparent, guardian etc) *

2) Contact Details

House Flat Number *

Street Name

Town *

County *

Country *

Postcode *

Home Telephone No.*

Mobile Telephone No.*

Email Address *

3)Prospective Pupils

First Childs Name *

Gender *

Date of Birth *

Current School (if applicable)

Second Childs Name

Gender

Date of Birth

Current School (if applicable)

Third Childs Name

Gender

Date of Birth

Current School (if applicable)

4) Prospective Entry Details

Entry Year *

Type of place sought

5) What prompted you to contact Hampshire Collegiate School? *

6) Additional Information/Comments

Additional Information