Enrolment Form
Welcome to St Mary's Education Centre. 
We require you to fill out this form before your initial assessment hour at SMEC. 
Please ensure that all mandatory elements are completed otherwise we will not be able to process your child's enrolment. Thank you. 
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What we offer at St Mary's Education Centre (SMEC)
First name of student *
Surname of student *
Date of birth (student)  *
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Name of parent (primary contact) *
Home Address *
Contact number for child's primary contact *
Email address for the child's primary contact *
Name of child's emergency contact *
Contact number of child's emergency contact *
Relationship of emergency contact to child *
Child's current school *
What grade is your child currently in? *
Which of the core subjects would you like tutoring for? *
Required
Which Tier would you like a teacher from?
We will do our best to match you with a teacher from the Tier of your preference, however please note that this is subject to availability.
 *
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Required
Which day and time would you like tutoring?
Please note that days and times you choose are subject to availability. 
For this reason, we encourage you to select multiple options you would realistically consider. 
The times below are our current operating hours. 
 *
Required
I understand that the initial hour of tutoring is an assessment hour for £49 for each subject area chosen.  *
Required
Does your child have any learning disabilities we need to be aware of? *
If you answered 'yes' to the above question, please provide more information:
Does your child have any medical conditions and/or allergies that we need to be aware of? *
If you answered 'yes' to the above question, please provide more information:
Do you consent for your child to be featured on SMEC social media platforms (such as Instagram), for educational purposes only? *
Anything other information you would like to add to this enrolment form?
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