1961-2011     Fifty years ‘with wisdom and courage’

Registration Form

Please fill out the form below or alternatively you can download our  Registration Form and post it off to us.

Registration Form for Academic Year

Pupils Full Name (required)

Address

Date of Birth

Mothers Telephone No:

Fathers Telephone No:

Mothers Mobile:

Fathers Mobile:

To whom should correspondence be addressed:

Primary School

 Sister of Current and Past Pupils who have graduated from Regina Mundi College Please give details below (eg year of graduation etc)

 Daughters of Past Pupils who have graduated from Regina Mundi College. Please give details below (eg year of graduation etc)

 Residents of Endsleigh / The Willows and daughters of staff

 None of These

Name of person who filled out this form

Date

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