Flexi DofE Touch Typing Course

STUDENT'S INFORMATION:
Student's Name*

First NameLast Name
Student's Age & School Year*
Date of Birth*

DayMonthYear
Student's Email*
example@example.com
Student's Mobile Number*
Name of School*
Any specific learning difficulties we should know about?
Any medical information that we should be aware of?
PARENT/GUARDIAN INFORMATION:
Parent/Guardian's Name*

PrefixFirst NameLast Name
Mobile Number*
Landline
Parent's Email*
Address to send keyboard to:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
COURSE INFORMATION
What date are you planning to start the course? (Please allow a week for keyboard etc. to be delivered.)*

DayMonthYear
Date
Please advise us of the type of laptop you will be using so an appropriate programme can be ordered for you. Please note that the programme will not run on an iPad.*

PCApple Mac
Does the laptop you will be using have a usb connector for a keyboard?*

YesNo (you will need to have a USB c to USB adaptor to attach our QWERTY keyboard)
What level DofE is this skill going towards?*

BronzeSliverI am not taking DofE
Please can you fill in your DofE ID number below:*
DofE Coordinator's Name*

PrefixFirst NameLast Name
DofE Coordinator's Email*
example@example.com
GDPR Agreement*

I consent to having QWERTY Type store my submitted information so they can respond to my enquiry.
Please let us know how you found us:*

RecommendationGoogleDofE WebsiteSchool NewsletterSocial MediaRadio H-PNappy ValleyLinkedinOther
PAYMENT

Please make the payment of £199 for our DofE Flexi Touch Typing Course (using the student's name as the reference) to:

Account name: QWERTYkids

Sort code: 40-20-10

Account no: 81667335

If you require the keyboad to be posted abroad please add £15 to your payment.

Please note your place is not confirmed until we have received payment.
Cancellation Policy: Once the course has been booked and the programme has been ordered 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: learn@qwertytype.com or if you would like to speak to us then please ask and we will be happy to call you.
Should be Empty:

STUDENT'S INFORMATION:

PARENT/GUARDIAN INFORMATION:

COURSE INFORMATION