Tarich Tuition Centres Registration Form
Please complete a disclosure form if your child have any learning difficulties, allergies, disabilities, sickness or other matters that the Centre should be made aware of concerning your child’s welfare, health & safety whilst at the centre.

By signing this form, you are agreeing to enrol your child at Tarich Tuition Centre under Tarich Centre’s Conditions of enrolment and subjecting your child to the Centre’s code of behaviour. This also lets us contact you about our service.

£50 deposit fee per child must accompany this form.
Email address *
Student's Details
Forename: *
Surname: *
Gender: *
Date of birth: *
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/
DD
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Ethnicity *
Current School: *
Year Group: *
Home Address: *
Postcode: *
Parent's/Guardian's Details
Title: *
Forename: *
Surname: *
Your Relationship with student: *
Mobile Number: *
Home Number:
Email Address 2:
Comments
Student Disclosure
Medical Conditions and Doctor's Details
Please describe any known medical condition that your child has and indicate whether the child has undergone any surgery previously. Give specific details. *
If you are happy for us to keep your details and contact you about the student(s) and our services, tick the box below. *
Required
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