A-Levels Summer Tasting Registration Form

Current School Details*

	Name of School	Grade/ Year	City/ Country

Parent's Full Name*

First NameLast Name
Relationship with Student*
ex. Father, Mother, Guardian
Mobile/WhatsApp Number*

Area CodePhone Number
Email Address*
example@example.com
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please choose which 3+1 subjects you would be interested in. Kindly note that while we will do our best to accommodate your choice, we may have to schedule more than one subject at the same time.

MathematicsPhysicsChemistryThinking SkillsArt and DesignEnglishBusinessIntroduction to MarketingLawTravel and Tourism
Declaration by Parents

By my signature below, I hereby acknowledge and confirm that all information on this application is correct.
Signature of Parent*

First NameLast Name
Date*

DayMonthYear
Should be Empty: