11+ Holiday Tuition Child's Name * First Name Last Name Medical Needs Does your child have any medical needs or conditions? * Yes, please give details below No Details Emergency Contact 1 Name * First Name Last Name Phone Number * Relationship to child * Emergency Contact 2 Name * First Name Last Name Phone Number * Relationship to child * Previous 11+ Tuition Please give details of any previous 11+ tuition Photography Consent 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 Thank you!