Please complete this form * = Required

Please let us know when you would like to visit (use the drop down for different options) * Visit Morning Wed 12 Dec 9.30-11.30amVisit Morning Wed 16 Jan 9.30-11.30amVisit Morning Fri 15 Feb 9.30-11.30amIndividual personalised Visit on a day convenient for you

Your First Name *

Your Surname *

E-Mail *

Phone Number *

Child’s Date of Birth *

Child’s Name

Current School (if applicable)

Have you visited Cardiff Steiner School before? (tick if yes)

Would you like to receive a School prospectus and Admissions information? (tick if yes)

House number and Street

Area

Town/City

Postcode

Where did you learn about Cardiff Steiner School? Word of MouthRecommendation from someone who attendsGoogle/WebsearchOther WebsiteFacebookPrimary TimesLeaflet/PosterOther

Any other questions/information? (include preferred visit dates if requesting an individual visit)

DO NOT email me about future School events and news including open days, talks and fairs .