Register Online
This is the form for you to register your child. Use it to get in touch with us and let us know what your concerns for your child may be. Please be as informative as possible, so that when we call you back we can suggest the best possible ways for your child to maximise their potential. For more than one child, please fill out separate forms.

If registering for a seminar, please mention its name in the enquiries box.

If you have any problems with the form, please contact our web team with your problems via email (info@excellenceineducation.org.uk)

Child's Firstname
Your answer
Today's Date
MM
/
DD
/
YYYY
Child's Surname
Your answer
Child's Date Of Birth
MM
/
DD
/
YYYY
Address 1 (Number, Street)
Your answer
City:
Your answer
Postcode
Your answer
Mobile number
Your answer
Home number
Your answer
Your E-mail address
Your answer
Proposed Programme?
Enquiry
Your answer
Child's favourite football team
Your answer
Child's favourite TV character
Your answer
Terms and Conditions
Required
Form filled by:
Your answer
Submit
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