Student Registration

1 Student & Parent details
2Level of study
3Courses
4Acknowledgement

Student & Parent details

Student First Name*

Student Surname*

Student Email*

Student medical requirements?*

Address*

Town*

County

Postcode*

Parents First Name*

Parents Surname

Parents Email*

Parents Phone Number*

Parent Enquiry mode*

Email Phone

First language*

Is this tutoring place funded by the school*

Yes No

This field is required.

Is this tutoring place funded by the school*

Please mention the school name*

Set up a new User Name*

Set up a new Password*

Confirm Password*

Level of study

Name of school where student is registered*

School Year (September 2024)*

Term time weekly session availability (can select more than one option)

Monday PM

Tueday PM

Wednesday PM

Thursday PM

Friday PM

Saturday AM

I am not interested in weekly session at the moment

Holiday grade booster sessions availability (can select more than one option)

Monday AM

Monday PM

Tuesday AM

Tuesday PM

Wednesday AM

Wednesday PM

Thursday AM

Thursday PM

Friday AM

Friday PM

I am not interested in grade boosters at the moment

What level of study is your child at?* This field is required.

Key Stage 2 (Yr 3- 6)

Key Stage 3 (Yr 7-9)

GCSE (Yr 10 & 11)

AS level (Yr 12)

A level (Yr 13)

Any academic Information – such as topics or skills requests

Are there any additional learning needs (SEND) that we need to be aware of?*

Information to the tutors*

Courses

Target Level/Grade

Current Level / Grade

Exam Board for each subject*

Maths

Science

I am interested in:

Location (can select more than one option)* This field is required.

Bury St Edmunds

Ipswich

Stowmarket

Online

Mode of Study (can select more than one option)* This field is required.

Face to Face Shared tutoring

Face to Face 1-1 tutoring

Online 40/20 tutoring

Online 60 mins tutoring

Holiday Grade Booster Sessions

I am unsure/I would like more information on the options

What subject’s is the student interested in? * (can select more than one option). This field is required.

Jekyll and Hyde

MacBeth

Romeo and Juliet

An Inspector Calls

Christmas Carol

English

Science

Key Stage 2 - Combined English and Maths

English Language

English Literature

Mathematics

Biology

Chemistry

Physics

French

German

Spanish

Geography

History

Business Studies

Economics

Computer Science

Psychology

Philosophy

Acknowledgement

I am happy to receive communications by email or text with details of appropriate courses.* This field is required.

Yes No

I acknowledge that the tutoring platform used (Bramble) records the audio of each tutoring session. This provides a revision resource for the student and is also a safeguarding precaution; the safety of our students is paramount. This recording is stored securely on Bramble and is only available to the student, tutor and the Community Schools Director. This will not be shared with any other party.* This field is required.

Yes

How did you hear about this course?* This field is required.

Recommendation from friend/family

Older child previously attended

School referral

Leaflet

Google/internet search

Facebook/instagram

Magazine

Other:

We send updates regularly about our courses, resources and term dates etc through our current parent mailing list. Please could you confirm that you are happy to be added to this email mailing list.* This field is required.

I am happy to receive email updates through the mailing list

Please do not add me to the email mailing list

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