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Offer Acceptance Form
Offer Acceptance Form
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*
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Child's Full Name
*
First
Middle
Last
Preferred Name
Child's Date of Birth
*
DD slash MM slash YYYY
Acceptance Terms
I / We accept the place which has been offered to us for my / our child (named above), on the terms of:
· the letter containing that offer together with any Conditions of Award attached
· this acceptance form
· the School's Terms and Conditions, enclosed with the offer letter
· the School's fees, as varied from time to time.
Cancellation Rights
I / We understand that I / we have the right to cancel this contract at any time within 14 days of the day following the School's receipt of this acceptance form only if the offer is made and accepted entirely at distance by means of post or electronic communication.
Immigration Rights
Where applicable I / we enclose a copy of my / our child's passport and immigration status documentation confirming his / her right to enter the United Kingdom and study at the School. Where he / she holds a dependent visa, I / we also enclose a copy of my / our passport(s) and immigration status documentation confirming my / our right to enter and live in the United Kingdom. Please see clause 3 in the School's Terms and Conditions.
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Declarations by the signatories to this acceptance form
I / We declare as individuals and jointly that:
(1) Terms and conditions: Before signing this acceptance form I / we have read and understood and I / we agree to the School's Terms and Conditions and, where appropriate, the Conditions of Award of a bursary or scholarship, which will undergo reasonable change from time to time. I / We have retained a copy of the School's Terms and Conditions with our records.
(2) Disclosures: I / We have already provided and will continue to provide details of any medical condition, health problem or allergy affecting my / our child; any learning difficulty, disability, or special educational need of my / our child; as well as any behavioural, emotional and / or social difficulty of my / our child (for example dyslexia, dyspraxia, attention deficit disorder, visual or hearing impairment or any condition requiring use of a wheelchair). I / We attach in confidence details of any relevant information received since my / our previous disclosure.
(3) Medical matters: I / We will complete in confidence the School's Medical Information and Consent Form and will continue to provide all relevant information about any medical condition, health problem or allergy which affects my / our child and / or which may prevent my / our child from taking a full part in the School's academic and games or sports curriculum, outdoor activities and educational visits or if my / our child has been in contact with anyone with an infectious or contagious disease.
(4) Court orders: Where I am / we are separated or divorced, I / we have informed the School of this. I / We have also disclosed all court orders or criminal proceedings in relation to my / our child and all court orders, criminal proceedings, statutory demands or bankruptcy petitions relating to either parent (including any court orders relating to financial matters). I / We will disclose any subsequent court orders, criminal proceedings, statutory demands or bankruptcy petitions to the School.
(5) Parental responsibility: I / We both have parental responsibility (i.e. legal responsibility) for the child named above.
To confirm, please select one of the below:
*
Select
I / We confirm that no other person's consent is required for the child to attend the School
I / We have disclosed written consent to the child joining the School from all others with parental responsibility for the child.
If any person signing this acceptance form does not have parental responsibility for the child please provide a brief written explanation of the relationship between that person and the child together with the name(s) of all others with parental responsibility for the child.
(6) Current and previous schools: I / We confirm that fees payable to my / our child's current and any previous schools have been paid or will be paid in full before my / our child enters the School. Except as disclosed in a confidential letter attached to this acceptance form, my / our child has not been withdrawn from or been asked to leave another school as a result of misconduct and is not under investigation and has not been convicted of any criminal offence.
(7) School fees: I / We understand that the School may at any time make enquiries of my / our child's current or previous schools for confirmation that all sums due and owing to such school(s) have been paid. I / We understand that the School may inform any other school or educational establishment to which I / we propose sending my / our child if any Fees of this School are unpaid. I / We also understand that the School may make reasonable enquiries of relevant third parties (for example credit reference agencies) about my / our financial means in appropriate circumstances.
(8) Cancellation or Withdrawal: Except where the cancellation rights described above apply or where otherwise provided in the School's Terms and Conditions I / we will not cancel my / our acceptance of this place or withdraw my / our child from the School without first giving a Term's Written Notice or paying a Term's Fees in accordance with the School's Terms and Conditions. Please see Section 9 of the School's Terms and Conditions for further information about Notice, Cancellation and Withdrawal.
(9) Documents: I / We confirm that before signing this acceptance form, I / we have seen or had an opportunity to see all the documents referred to in the School's Terms and Conditions, including the the School rules and procedures.
(10) Confirmation of declarations: I / We confirm that the declarations made on this acceptance form are true and that I / we have disclosed all information required in the declarations. I / we understand and agree that the School has the right to terminate this contract for educational services immediately if any declaration is found to be untrue.
Authorities given by the signatories to this acceptance form
I / We give the following express authorities on behalf of myself / ourselves and (so far as I am / we are entitled to do so) on behalf of my / our child.
(11) Commencement of services: I / We consent to the School providing educational services to my / our child if he / she starts as a pupil at the School within 14 days of the date of this acceptance form.
(12) Educational visits: I / We consent to my / our child taking part in all educational visits and activities which take place off School premises while he / she is a pupil at the School.
(13) Transport: I / We consent to the Pupil travelling by any form of public transport and / or in a motor vehicle driven by a responsible adult who is duly licensed and insured to drive a vehicle of that type.
(14) Dukes Education Group Current School: we hereby instruct and consent to the School contacting the Current School to arrange the transfer of the deposit held by them to the School as partial payment or whole of the Application Deposit Fee on our behalf, subject to all outstanding fees with the existing school having been settled in full.
(15) Immigration arrangements: Where my / our child is sponsored by the School for a Child Student visa I / we consent to the arrangements for my / our child’s visa application, travel, reception and care arrangements in the United Kingdom and have provided this consent to the school in the form of letter required (the Annex D Letter).
How we use your information
For more information about how the School will use your information, and your child's information, please see our privacy notice.
This document is published on the School's website: https://www.prospecths.org.uk/about-us/school-policies-and-reports/
If your child is going to enter Year 7 or above, they have the maturity to exercise their own data protection rights. Therefore please show them a copy of the pupil privacy notice and discuss it with them.
Second emergency contact (if applicable)
If only one person is to sign this acceptance form, the School requires You to complete the details below for a second person who You authorise Us to contact in an emergency.
By signing this acceptance form you confirm that the second emergency contact has agreed to act in that capacity.
Do you need to provide a Second Emergency Contact?
*
Select
Yes
No
Name
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Last
Address
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Street Address
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ZIP / Postal Code
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Maldives
Mali
Malta
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Mauritius
Mayotte
Mexico
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Mongolia
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Montserrat
Morocco
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NIGERIA
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Nepal
Netherlands
New Caledonia
New Zealand
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Niue
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Norway
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Palestine
Panama
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Paraguay
Peru
Philippines
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Poland
Portugal
Qatar
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Reunion
Romania
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
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Spain
Sri Lanka
Sudan
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Sweden
Switzerland
Syria
São Tomé and Principe
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Island(British)
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Relationship to child
*
Emergency contact telephone number
*
Signatures
Upon completion of this form, I / We will pay by bank transfer direct to the School's bank accout or by Stripe the amount stated in the Offer Letter, being Acceptance Deposit which will be held without payment of interest in the general account of the School in accordance with the School's Terms and Conditions referred to above.
First signatory
First
*
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Prefix
First
Last
Date of birth
*
DD slash MM slash YYYY
Relationship to child
*
Phone
*
Email
*
Emergency contact telephone number
(if different)
Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
CHINA
Cambodia
Cameroon
Canada
Cape Verde
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
Christmas Island
Coco(Keeling) Island
Columbia
Comoros
Congo
Congo (DRC)
Cook Islands
Costa Rica
Croatia (Hrvatska)
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Island
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Grand Cayman
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
HONG KONG
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
JAPAN
Jamaica
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
NIGERIA
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Niue
Norfolk Island
Norway
Oman
Pakistan
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
RUSSIA
Reunion
Romania
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
São Tomé and Principe
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Island(British)
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Signature
*
Date
*
DD slash MM slash YYYY
Second Signatory
First
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Prefix
First
Last
Date of birth
DD slash MM slash YYYY
Relationship to child
Phone
Email
Emergency contact telephone number
(if different)
Address
Same as First Signatory
Address
Street Address
Address Line 2
City
ZIP / Postal Code
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
CHINA
Cambodia
Cameroon
Canada
Cape Verde
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
Christmas Island
Coco(Keeling) Island
Columbia
Comoros
Congo
Congo (DRC)
Cook Islands
Costa Rica
Croatia (Hrvatska)
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Island
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Grand Cayman
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
HONG KONG
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
JAPAN
Jamaica
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
NIGERIA
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Niue
Norfolk Island
Norway
Oman
Pakistan
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
RUSSIA
Reunion
Romania
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
São Tomé and Principe
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Island(British)
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Signature
Date
DD slash MM slash YYYY