11+ Group Classes

Parent Name *

First Name

Last Name

Student Name *

First Name

Last Name

Does your child have any medical needs or conditions? *

Yes, please give details below

No

Name *

First Name

Last Name

Name *

First Name

Last Name

I give permission for my child's photograph to be taken for marketing purposes *

Photographs/ videos will be taken during the course, however your child's face will only be included with your consent. Your child's name will never be used in conjunction with their photograph

I agree

I do not agree

Session Dates *

Select all of the sessions you would like your child to attend.

Tuesday 22nd July

Friday 25th July

Tuesday 29th July

Tuesday 5th August

Friday 8th August

Tuesday 12th August

Friday 15th August

Friday 22nd August

Friday 29th August

How did you hear about HQ Learning?

Referral

Search engine

Social media

Flyer

Other