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*

First language*

Is this tutoring place funded by the school*

Yes No

This field is required.

If yes then please indicate which school is funding the tutoring place*

Please mention the school name*

Set up a new User Name*

Set up a new Password*

Confirm Password*

Captcha *

Type the text displayed above

Level of study

Name of school where student is registered*

School Year (September 2026)*

What evening are you available to attend weekly sessions? (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.

Specialist teaching

Key Stage 2 (Yr 3- 6)

Key Stage 3 (Yr 7-9)

GCSE (Yr 10 & 11)

AS level (Yr 12)

A level (Yr 13)

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

Any academic Information – for the tutor

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 (Pencil Spaces) 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 Pencil Spaces 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:

Student Registration

Student & Parent details

Level of study

Acknowledgement

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