Request a Prospectus

Your Name

Title * Required
Forename* Required
Surname* Required

Your Address

Door No. / House Name* Required
Street Name
Town / City
County
Post Code* Required
Country

Other Contact Information

Telephone (Daytime)* Required
Telephone (Evening)
  
Telephone (Mobile)(Mother/Female Guardian/Grandmother/Auntie)
Telephone (Mobile)(Father/Male Guardian/Granddad/Uncle)
  
Email Address(Mother/Female Guardian/Grandmother/Auntie)
Email Address(Father/Male Guardian/Granddad/Uncle)

Your Child's Details

Forename* Required
Surname * Required
Date of Birth * Required
Gender * Required
Child's Current School
What Academic year would your child start in? * Required
What year group would your child start in? * Required

Other Information

Your relationship to the child? * Required
Where did you here about us? * Required
Other information

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All information is stored and used in accordance with the UK Data Protection Act 1998
Your data will ONLY be used by Newcastle under Lyme School
Your data will NOT be passed on to third parties