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Waiting list- Registration form
Bucks Eleven Plus
Please use this form to join the waiting list. The Bucks Eleven Plus course is for children in Year 5. You will be contacted when your child is in Year 4 for an assessment and to confirm your space.
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* Indicates required question
Child's first name
*
Your answer
Child's surname
*
Your answer
Child's gender
*
Male
Female
Other:
My child is currently in
*
Year 1
Year 2
Year 3
Year 4
What school does your child attend?
*
Your answer
Any additional needs?
*
Yes (Please provide details below)
No
Details of additional needs
Your answer
Parent first name
*
Your answer
Parent surname
*
Your answer
Primary telephone number
*
Your answer
Primary e-mail address
*
Your answer
Where do you live?
*
Aston Clinton
Aylesbury
Buckland
Halton
Stoke Mandeville
Tring
Wendover
Weston Turville
Other:
Any further information (including relevant medical needs)?
Your answer
Is your child currently meeting or exceeding expectations in Maths and English?
This question is only to help identify where early intervention in Year 4 may be helpful.
*
Not meeting yet
Meeting expectations
Exceeding
Maths
English
Reading
Not meeting yet
Meeting expectations
Exceeding
Maths
English
Reading
If you have answered 'not meeting yet' to any of the above, please provide details below.
Your answer
Initial preference for day (this is not a guarantee)
Monday
Saturday
Clear selection
How did you hear about Bucks Eleven Plus?
Your answer
Please confirm you have read the Privacy Policy
https://www.buckselevenplus.co.uk/privacypolicy
*
Yes
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