Application FormA problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator. Center name Please selectCroydon Tuition CentreHendon Tuition CentreNorth Finchley Tuition CentrePonders End Tuition CentreReading Tuition CentreChatham Tuition CentreCardiff Tuition CentreOnline Number of child 123 First Child First name Last name Date of Birth Gender Male Female Prefer not to say School Year Group Please selectYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12Year 13 Any medical conditions? Which course/s would you like to choose? Year 1, 2 English and Maths Year 3, 4 English and Maths Year 5, 6 English and Maths 11 plus Exam preparation Year 7, 8 Science Year 7, 8 English and Maths Year 9, 10 GCSE English Year 9, 10 GCSE Maths Year 9, 10 GCSE Science Year 11 GCSE English Year 11 GCSE Maths Year 11 GCSE Science Second Child First name Last name Date of Birth Gender Male Female Prefer not to say School Year Group Please selectYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12Year 13 Any medical conditions? Which course/s would you like to choose? Year 1, 2 English and Maths Year 3, 4 English and Maths Year 5, 6 English and Maths 11 plus Exam preparation Year 7, 8 Science Year 7, 8 English and Maths Year 9, 10 GCSE English Year 9, 10 GCSE Maths Year 9, 10 GCSE Science Year 11 GCSE English Year 11 GCSE Maths Year 11 GCSE Science Third Child First name Last name Date of Birth Gender Male Female Prefer not to say School Year Group Please selectYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12Year 13 Any medical conditions? Which course/s would you like to choose? Year 1, 2 English and Maths Year 3, 4 English and Maths Year 5, 6 English and Maths 11 plus Exam preparation Year 7, 8 Science Year 7, 8 English and Maths Year 9, 10 GCSE English Year 9, 10 GCSE Maths Year 9, 10 GCSE Science Year 11 GCSE English Year 11 GCSE Maths Year 11 GCSE Science Father/Mother/Guardian First name Last name Mobile Email Guardian Please selectFatherMotherGuardian Address Postcode County Home tel What is your Ethnic group?(optional) White British Indian Pakistani Mixed Black Caribbean Black African Bangladeshi Chinese Other Asian Black(others) Other Other Ethnic Emergency contact First name Last name Mobile Relation Consents Do you give permission for Emergency First Aid and for staff to seek further medical advice or medical intervention in an emergency if your child/ren falls seriously ill whilst attending one of our courses? Yes No We aim take photographs of each student to add into our registration portal for school use only. We might also take additional photographs or videos of your child for class photo album or our school's website/social media/ brochures. Do you give permission for these additional photographs or videos? Yes No I want my children to travel home/centre by themselves. I acknowledge that the whole responsibility about my child's/children's safety is mine. Yes No I give my child/ren consent to leave Centre during break time. Yes No Terms and Conditions I read the terms and conditons. Privacy policy I accept the privacy policy. Office use only First Child Start date Equipment and Test fee Course Fee Actual Fee Total Amount Second Child Start date Equipment and Test fee Course Fee Actual Fee Total Amount Third Child Start date Equipment and Test fee Course Fee Actual Fee Total Amount Payment Type Full Payment Termly (6 weeks) Payment First payment Amount due by Second payment Amount due by Third payment Amount due by Fourth payment Amount due by Fifth payment Amount due by Sixth payment Amount due by Total Amount Center email Send
