PASS ENROLMENT FORM - 2018/19
Please complete this short enrolment form with your child's details.

If you have any questions or queries, please do not hesitate to contact us on 01462 612922, or email us at admin@mylanguagehub.com.

Many thanks in advance,

The Admin Team
My Language Hub Ltd.

Email address *
CHILD'S DETAILS
Full Name: *
Your answer
Age: *
Your answer
D.O.B *
Your answer
Address (including Postcode) *
Your answer
School Year *
Child's School: *
Your answer
PARENT/GUARDIAN'S DETAILS:
Name of Parent/Guardian: *
Your answer
Phone / Mobile No.: *
Your answer
Address (if different from the child's)
Your answer
SPECIAL NOTE
Please list any physical or learning difficulties, or any allergies experienced by your child *
Your answer
PHOTOGRAPHS
We occasionally take photographs of children in class to use in publicity material such as newsletter, local papers or our website. Please indicate your consent or otherwise by ticking below:
I consent to my child to appear in photographs and on the website *
MATERIALS
Your child need the course book "Vamos al Circo", and an exercise book.
Please choose one of the options below:
Course book "Vamos al Circo" > £12.00 *
Tick
I want to order the course book from My Language Hub
I will buy the course book myself
Exercise book > £1.20 *
Tick
I want to order an exercise book from My Language Hub
I will bring my own
If you'd like to many comments, please insert them below.
Your answer
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