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Child's Name (In Full) Date of Birth Age on Last Birthday

	Date due to enter... (choose applicable one)
Lower Prep
Upper Prep
Senior School

As...*BoarderDay Pupil

Class or Form (if already a Kimbolton pupil) How much do you wish to pay in advance per term for your child's education?* For how many terms?* Date payment can be made by*

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Advance Fee Payment Scheme: Quotation Request

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