Leaver Form

Please complete the form below if you wish to take your child off our school roll. As to our terms and conditions as stated on the website, a term’s notice must be given before a pupil is withdrawn from the School or a term’s fees in lieu will be immediately due and payable as a debt at the rate applicable on the date of invoice.

Student's Name*
First Last
Date of Birth*
DD slash MM slash YYYY
Year Group*
Gender*
Parent/Guardian 1 Full Name*
First Last
Parent/Guardian 1 Full Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Parent/Guardian 1 Phone Number*
Parent/Guardian 1 Email Address*
Parent/Guardian 2 Full Name*
First Last
Parent/Guardian 2 Full Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Parent/Guardian 2 Phone Number*
Date of last attendance*
MM slash DD slash YYYY
Your Admissions Representative at Buckswood*
- Lisa Jane Davies (UK Admissions)
- Olga Nalivkina (International Admissions)
- Cristina Terrazas (International Admissions)
- Yu Hao (Phoenix) (International Admissions)
- Kyoko Field (International Admissions)
- Sherene Zouehid (International Admissions)
- Unsure of the representative in charge
Destination - New school name, address and telephone number*
Reason for Leaving*
Consent*
I agree to the privacy policy.
Please make sure you check your 'spam' or 'junk' folder as the receipt message sometimes finds its way in there.

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Leaver Form