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Child First Name

Child Last Name

Child Date of Birth (DD-MM-YYYY)

Gender(required)

Male

Female

Other

Child Current Address

Current School Attending

Current Year Group

Nationality

Country of Birth

Ethnic Background

Religion

What subjects do they need tuition for?

Maths English Science

What are the child’s interests?

What is the child good at doing?

What are the child’s dislikes?

Phone

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Parent Statements

Attendance: I understand Education Made Easy require a month’s payment in advance. This is a non-refundable payment unless of extreme circumstances or you have given us a 72hour notice. This would then be transferred to the next month, no money will be returned, instead offering you the next session. MOBILE PHONES WILL NOT BE PERMITTED ON SITE.