REGISTRATION FORM
DATA PROTECTION (Data Protection Act 1998). The information you provide will be held with the school. At no time will your personal information be passed to organizations for marketing or sales purposes.
Child's Name *
Your answer
Child's Chinese Name (if any)
Your answer
Date of Birth *
DD/MM/YYYY
Your answer
Any siblings? *
If yes, please select 'other' and specify their name(s) and age(s).
Parent's Name *
Your answer
Parent's Contact Number *
Please use the format of '+44XXXXXXXXXX'
Your answer
Parent's Email Address *
Your answer
Home address *
Your answer
Emergency contact and mobile number 1 *
Please use the format of '+44XXXXXXXXXX' for the number
Your answer
Emergency contact and mobile number 2 *
Please use the format of '+44XXXXXXXXXX' for the number
Your answer
Any medical information we need to know?
Your answer
Name of person collecting child(ren) if not the parent
Not applicable to private tuition
Your answer
What language(s) do you speak at home? *
Required
Consent for photo shooting *
Do you agree any photo of the above named child being taken during the sessions and being used for marketing purposes by the school?
Consent for emergency treatment *
Do you agree to any emergency treatment necessary for the above named child?
Available Lesson Time *
Your answer
Data protection law(GDPR) is changing on 25/5/2018. Would you like to hear from us? *
DECLARATION *
By typing my name below, I agree to abide by the regulations of the school. I have read the Terms and Condition and also understand the school reserves the right to change tutors, re-schedule, cancel or combine classes if necessary.
Your answer
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