1. Child's Details

One of the candidate’s parents/guardians must complete this form.

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* Surname of your child

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* First names: (underline preferred name)

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* Gender:

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* Which year group will your child be in for the academic year 2027-28?

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* Date of Birth:

Date

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* Current Address:

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* Current School:

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* I wish my son/daughter to be entered as a candidate for the following scholarship/s and I intend that, if successful, he/she will join Uppingham Cairo (Please select a maximum of 2 scholarships)

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* Music Scholars only.

Instrument 1

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* Instrument 2 (if applicable)

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* Instrument 3 (if applicable):

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* Sports Scholars only.

Please tells us which sport(s) the candidate wishes to be assessed:

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* Please tell us the name of your child's current Sports' Club:

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* Signature (Please print name in full including title and all names):

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* Relationship to the child:

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* Date

Date

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* Parent's Email Address

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* Parent's Mobile Phone Number

 
 100% of survey complete.

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