REGISTRATION FORM PARKGATE PRIMARY

Please complete the form below to register your child for tuition during the academic year.

* Indicates required field

Child's Name *

First

Last

School *

Year Group *

I am registering for *

Parent Name *

First

Last

Mobile Phone Number *

Email *

Date *

I understand that by completing this form, I am registering my child for place on the above named activity. I understand that if I now decline the place I am requesting then a cancellation fee of £5.00 will be applicable *

YES

Submit

Please complete the form below to register your child for tuition during the academic year.

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