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CHILD 1 test form 
Name: 
Year group in school:
Subjects studying at Get Set Go Learning:
Learning difficulties if any:
Any known allergies:
Medical conditions:
CHILD 2
Name:  
Year group in School:
Subjects studying at Get Set Go Learning:  
Learning difficulties if any:  
Any known allergies:
Medical conditions:
CHILD 3
Name:  
Year group in School:
Subjects studying at Get Set Go Learning:
Learning difficulties if any:  
Any known allergies:
Medical conditions:
PARENT /GUARDIAN 1
Name:  
Address:
Relationship with the child:  
Mobile number:
Email:
Preferred method of communications for updates:
PARENT /GUARDIAN 2
Name:  
Address:
Relationship with the child:  
Mobile number:
Email:
Preferred method of communications for updates:
STUDY AGREEMENT 
I agree to attend the sessions and hand in homework regularly which is attempted independently by the child.   
Date
MM
/
DD
/
YYYY
For Year 5, Year 6 & Year 7 Students.
I hereby give consent for my child (name of the child)

to travel home unaccompanied by a parent/guardian from (Name  of Centre). 
This consent is valid  from (day/month/year format). 
MM
/
DD
/
YYYY
to (day/month/year format).

MM
/
DD
/
YYYY
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