WISE MIND TUITION CENTRE – Parent Enquiry and Registration Form

WISE MIND TUITION CENTRE – Parent Enquiry and Registration Form

Thank you for your interest in Wise Mind Tuition Centre. Please complete this form to tell us about your childcare, tuition, language learning, Quran learning, Special Educational Needs and Disabilities (SEND) support, or childcare funding enquiries. Completing this form does not guarantee a place, funding approval or eligibility for government support. We will contact you using the details provided.
Parent or Guardian Details
Parent or Guardian Full Name

First NameLast Name
Email Address
example@example.com
Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Postcode
Preferred Contact Method
Child's Details
Child's Full Name
Current School
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Medical Conditions
Social Services Involvement
Other Information
Current Key Stage Level
Child's Address
Child's GP
Who Will Pick Up the Child?
Emergency Contact Name
Emergency Contact Email
example@example.com
Additional Child Full Name
Additional Child Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional Child School
Additional Child Address
Additional Child Other Information
Child's Age Group
Number of Children Requiring a Place
Services Required
Which services are you interested in?
If you selected another service, please specify.
Special Educational Needs and Disabilities (SEND)
What type of educational support would you like to discuss?
Would you like us to contact you to discuss your child's learning needs?
Is there anything else you would like us to know about the educational support you are seeking?
SECTION 5: CHILDCARE GRANTS, BENEFITS AND FUNDING
What childcare funding or financial support would you like information about?
Would you like us to contact you about childcare funding information?
Is there anything else you would like to ask about childcare funding?
SECTION 6: START DATE AND AVAILABILITY
When would you like the service to begin?
Preferred Days or Sessions
Session Type
Preferred Start Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
SECTION 7: ADDITIONAL INFORMATION
Please tell us anything else that may help us respond to your enquiry.
SECTION 8: PRIVACY AND CONTACT PERMISSION
Privacy Notice Acknowledgement
Enquiry Contact Permission
Bank details
Wise Mind Tuition Centre
Sort code: 204150
Account number: 63472027
Registration Fee
prevnext( X )
Registration fee
Includes all books and exam payments. Payment can be transferred by cash or bank transfer.

£50.00

Assessment
First Assessment free there after £225gbp If Assessment is missed

Free Quantity

Total

£0.00
Should be Empty:

WISE MIND TUITION CENTRE – Parent Enquiry and Registration Form

Parent or Guardian Details

Child's Details

Services Required

Special Educational Needs and Disabilities (SEND)

SECTION 5: CHILDCARE GRANTS, BENEFITS AND FUNDING

SECTION 6: START DATE AND AVAILABILITY

SECTION 7: ADDITIONAL INFORMATION

SECTION 8: PRIVACY AND CONTACT PERMISSION

Registration Fee*

Registration Fee