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2026/27 Registration and Group Preferences Form (Year 5)
Please note that Sue Chapman Tuition will use this information only for the purpose of your child's tuition.
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Email
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Your email
Parent's First Name and Surname
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Your answer
Child's First Name and Surname
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Your answer
Parent/Guardian's Mobile Number
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Your answer
Home Address (including postcode)
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Your answer
Emergency Contact (ie. different to primary contact)
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Your answer
Emergency Contact's Mobile Number (ie. different to primary contact's mobile number)
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Your answer
I understand that the Sue Chapman Tuition Y5 programme is designed specifically for children who are exceeding or working at greater depth of age-related expectations. I also understand that this is because the 11+ test is used to identify the most academically able children for entrance into selective Grammar Schools.
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Yes
No
Additional Information - Please give details if your child has any health, EHCP or IEP needs. If none, please enter None. We will need a copy of any healthcare plans, EHCPs or IEPs in place in order to confirm a tuition space.
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Your answer
First Choice Y5 Group (200 Spaces Taken, 17 Spaces Left)
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Monday 6:00 - 7:25pm at Bearley Village Hall with Ruth Empsall Walker (2)
Tuesday 6:00 - 7:25pm at Binton Village Hall with Jo Finch (1)
Tuesday 7:00 - 8:25pm at Shrewley Village Hall with Sue Rees (2)
Wednesday 3:40 - 5:05pm at Shrewley Village Hall with Sue Rees (2)
Wednesday 7:00 - 8:25pm at Shrewley Village Hall with Sue Rees (2)
Wednesday 7:00 - 8:25pm at Charlecote Village Hall with Tracy Cirin (2)
Thursday 7:00 - 8:25pm at Charlecote Village Hall with Tracy Cirin (4)
I understand that I will receive a deposit invoice covering the cost of the first two lessons and that the balance of the first half term will be payable by 1st September.
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Yes
No
I accept the Sue Chapman Tuition Terms and Conditions (see website if required).
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No
Finally, can you please confirm how you first heard about our tuition programme?
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Internet search
Instagram
Facebook
Referred by a friend
Other
Further Comments (only if required)
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