*
Required
Title
First
Surname
Address 1
*
required
Address 2
Address 3
City
County
Postcode
Country
Phone Number (inc. STD code)
Email Field
*
required
Daughter's Details
First
Preferred Name
Surname (if different)
Date of Birth
*
required
(dd/mm/yyyy)
Year of Entry
*
required
Please Select…
2020
2021
2022
2023
2024
2025
Year Group
*
required
Please Select…
Year 7
Year 8
Year 9
Year 10
Year 12
Boarding Status
*
required
Please Select…
Full
Weekly
Flexi
Day
Undecided
Current School
*
required
Interests
Religious denomination
*
required
Please Select…
Roman Catholic
Church of England
Christian
Jewish
Hindu
Muslim
Buddhist
Protestant
No religion
Other - please specify in the space below
Second Daughter's Details
First
Preferred Name
Surname (if different)
Date of Birth
(dd/mm/yyyy)
Year of Entry
Please Select…
2020
2021
2022
2023
2024
2025
Year Group
Please Select…
Year 7
Year 8
Year 9
Year 10
Year 12
Boarding Status
Please Select…
Full
Weekly
Flexi
Day
Undecided
Current School
Interests
Religious denomination
Please Select…
Roman Catholic
Church of England
Christian
Jewish
Hindu
Muslim
Buddhist
Protestant
No religion
Other - please specify in the space below
Third Daughter's Details
First
Preferred Name
Surname (if different)
Date of Birth
(dd/mm/yyyy)
Year of Entry
Please Select…
2020
2021
2022
2023
2024
2025
Year Group
Please Select…
Year 7
Year 8
Year 9
Year 10
Year 12
Boarding Status
Please Select…
Full
Weekly
Flexi
Day
Undecided
Current School
Interests
Religious denomination
Please Select…
Roman Catholic
Church of England
Christian
Jewish
Hindu
Muslim
Buddhist
Protestant
No religion
Other - please specify in the space below
How did you hear about Mayfield?
*
required
Please Select…
Local Knowledge
School Recommendation
Personal Recommendation
Internet Search
Old Cornelian
Advertising
Please send a confirmation email to the address below: