Leavers' Deposit Form

Parents of Second Year Specialists can donate their deposits back to the School as part of an annual Class Gift.

First Parent/Guardian's Name*

Email*

Phone Number*

Second Parent/Guardian's Name

Second Parent/Guardian's Email

Second Parent/Guardian's Phone Number

Pupil's Details*

Please supply the forename, surname, and House of your child.

Twin's Details (if Applicable)

Please supply the forename, surname, and House of your child.

Donation*

I would like to make a donation to Charterhouse.

Full Deposit (minus all charges on the final bill)

Half of the Deposit (minus all charges on the final bill)

Donation Fund*

I would like my donation to support:

Bursary Fund

Greatest Need Fund

Organ Fund

Charterhouse Supporters Roll*

I would like my name listed on the Charterhouse Supporters Role.

Yes

Please List How You Would Like Your Name to Appear