Port Regis Motcombe Park, Shaftesbury, Dorset SP7 9QA. United Kingdom. Registered No: 440436 Charity No: 306218
Tel: (+44) 01747 857800 Fax: (+44) 01747 857810 Email: office@portregis.com
Please use this form to provide us with your up to date contact details as well as any news of what you have been doing since you left Port Regis. Questions with an asterisk (*) must be completed.
Surname
*
Firstname
Surname whilst at Port Regis (if different)
Email address
Year of leaving Port Regis
Senior School
Current Address (if you are in short-term student accommodation, can you please give an address which is likely to find you in the longer term)
Main phone number
Mobile phone number
News Exam results, university entrance, a new job, moving to a new area, getting married? (please only provide information which you would be happy to see printed in Portregian News)
I am happy for any of the above news to be
published in Portregian News
Yes No
Other Notes (not for publication)
Other Old Portregians (Please provide addresses or email addresses of any other OPRs who you are in contact with and who might have lost contact with the school).
