Young Readers Book Club Registration Form for Ahead With English
Please complete this form to enroll your child for the Young Readers Book Club.
Ahead With English will not share the information you provide with third parties.
Email address *
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Child's first name *
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Child's family name *
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Name your child prefers to be known as:
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Date of birth *
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Address: street and number *
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Address: city *
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Address: postal code *
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Address: country *
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Main Contact numbers including country code *
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Emergency contact number including country code. Name and relationship *
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Mother's name - first name, family name *
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Mother's place of employment
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Father's name - first name, family name *
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Father's place of employment
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What languages are spoken at home?
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Does your child suffer from allergies? If yes, please provide details *
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Does your child follow any medical treatment on a regular basis? If yes, please provide details *
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Does your child have siblings? Please provide names and ages
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How did you find out about us?
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To be completed by a parent or the main child carer *
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Please state your full name and relationship to child. This is your signature. *
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