Sixth Form Taster Day | Mount House School

Student name *

First

Last

Gender *

Current School *

Parent title *

e.g. Dr/Mr/Ms/Mrs

Parent Name *

First

Last

Mobile number *

Email *

Email

Confirm Email

Second parent email (if required)

Email

Confirm Email

Select possible course options interested in

Does your child have any special educational needs or social difficulties? Put n/a if not applicable *

Please tell us of any dietary requirements or medical conditions as we have a duty of care whilst they are with us for a day

How did you hear of us?

GDPR Consent

Email
Phone
Post
Text (SMS)

We take your privacy seriously and will only use your personal information to provide the services you have requested from us. However, from time to time we would like to contact you with further information. If you consent to us contacting you for this purpose please tick to confirm how we can do so.