Withington in Action 2019
Thank you for your interest in our Withington in Action 2019 events, which are scheduled to take place on Tuesday 17th September and Tuesday 15th October. These events are aimed at girls who will be in Year 6 in September 2019.

Please provide some information and contact details via this form if you and your daughter would like to attend. This will help with our arrangements for the events, which take place during the normal school day.

CHILD DETAILS
Surname *
Your answer
First name *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Name of Current School *
Your answer
CONTACT DETAILS
House name/number and street *
Your answer
Town *
Your answer
Postcode *
Your answer
Preferred contact number concerning this event *
Your answer
Email for communication concerning this event *
Your answer
PARENT/GUARDIAN DETAILS
CONTACT 1
Responsibility for child *
Title (Mr, Mrs, Ms, Miss, Dr, Prof etc.) *
Your answer
Surname *
Your answer
First Name *
Your answer
Relationship to Child *
If 'Other', please state relationship to child
Your answer
Mobile number *
Your answer
Email *
Your answer
CONTACT 2
Responsibility for child
Title (Mr, Mrs, Ms, Miss, Dr, Prof etc.)
Your answer
Surname
Your answer
First Name
Your answer
Relationship to Child
If 'Other', please state relationship to child
Your answer
Mobile number
Your answer
Email
Your answer
EVENT DETAILS
Please let us know which Withington in Action event you wish to attend - if the date requested is fully booked, we will contact you. *
Total number of people attending the Withington in Action event. *
Where did you hear about Withington as a possible future school option for your daughter?
If other, please provide details:
Your answer
How we will use the information provided in this form
This information will be used by Withington Girls’ School during the admissions process to communicate with you and for statistical analysis.

I / We understand that by clicking on the submit button below, the personal data provided will be processed for the legitimate business of the School managing the admissions process. I / We agree to this information being held until such time as the child named above is no longer of an age to apply for a place at the School, or until I / we request that our personal data no longer be retained.

We would like to keep you informed of news and events at Withington Girls' School in the future. Please let us know if you give permission for us to stay in touch: *
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