Rambert Grades Exam Registration

School Name

School Address

Street Address

Street Address Line 2

CityCountry

Postal / Zip Code

Registered Teacher's Name

First NameLast Name

Registered Teacher's Email Address

example@example.com

Date of Examination Submission*

Registrations must be received at least 4 weeks before the planned examination submission date.

My Products

Creative Movers

£25.00 Quantity

Pre Primary

£28.00 Quantity

Primary

£32.00 Quantity

Grade 1 Exam

£35.00 Quantity

Grade 2 Exam

£42.00 Quantity

Grade 3 Exam

£48.00 Quantity

Grade 4 Exam

£45.00 Quantity

Grade 5 Exam

£52.00 Quantity

Grade 6 Exam

£58.00 Quantity

Grade 7 Exam

£62.00 Quantity

Grade 8 Exam

£65.00 Quantity

Total

£0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Examination Declaration
By registering the Candidates listed on the Registration I am confirming that they will be fully prepared for their Examination by the time the Examination filming is due to take place. Should a situation arise between registration and the submission of the Digital Evidence for the Examination, that could detrimentally impact a candidate, a Special Consideration form should be submitted with the films.

I confirm that I have reviewed all policies which I am required to have and/or uphold in order to be a Rambert Grades Examination Centre.

Signature