Glynde Application Form Glynde 2024 Application Young Persons Name Young Persons Date of Birth Company 9th/14th Brighton 26th Brighton 2nd Burgess Hill 3rd Burgess Hill 1st Lindfield 1st Southwick 2nd Shoreham-By-Sea 3rd Eastbourne School Year Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Year 13 Special Diet (e.g. Vegetarian, Allergies or Medical Needs) Yes No If yes please specify. We will cater for each special diet individually but please complete the menu choices below Special Medical Yes No If yes please specify Behavioural Problems Yes No If yes please specify Parent/Guardian Name(s) Email Address Phone Number Address
