Tutoring for Children Enrolment

Child's Name *

First

Last

Child's date of birth *

What year at school is the child in? *

If between years, list the year the child will be in at the start of the next school year. If child is below school age, please put 'pre-school'

Does the child have any experience in the language of choice?

Parent/Guardian Name *

First

Last

Which Programme? *

Online or In-Person*? *

*In-person sessions are subject to child's living arrangements in the Teesside area.

Parent/Guardian Email *

Parent/Guardian Phone *

Postcode *

Permission & Agreement *

I agree and give my permission

I give the child stated here permission to attend these classes and agree to all the terms and regulations that apply. We also agree to Miss Harmonie contacting me via the options above and are happy to receive money saving deals via email.