QWERTYkids Booster Course Booking Form

Booster Course Booking Form

Thursdays 4:30 - 5:30pm
CHILD'S INFORMATION:
Child's Name

First Name Last Name
Date of Birth

Day Month Year
Child's Age & School Year
Name of School
Does your child have any specific learning difficulties?
Any allergies or medical information that we should be aware of?
PARENT/GUARDIAN INFORMATION:
Parent/Guardian's Name

First Name Last Name
Mobile Number
Landline
E-mail *
Emergency Contact (Name and Number)
COURSE INFORMATION
Please confirm the dates of the course your child will be attending.

Thursday Jan 28th, Feb 4th & 11th
Please tick what you would particularly like your child to work on.

Correct finger placement Speed (wpm) Both
Please specify if there are any letters/punctuation etc. that your child knows they find tricky.
Please state if you would be happy for your child's photo to be taken and used in our promotional material.

Yes No
GDPR Agreement

I consent to having this website store my submitted information so they can respond to my enquiry.

Payment

Booster Course £ 45.00 GBP

3 x 1 Hour Sessions - Thursdays 4:30-5:30pm (Jan 28th, Feb 4th & 11th)

Total £ 0.00 GBP

Cancellation Policy: Once payment has been made we are unfortunately unable to refund the cost of the course.
Any questions at all please do not hesitate to contact Clare or Philippa by email: touchtype@qwertykids.org or if you would like to speak to us then please ask and we will be happy to call you.
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Booster Course Booking Form