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Child's name
First Name
Last Name
Child's date of birth
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Parent email
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Parent/carer's contact name
*
First Name
Last Name
school type : primary, secondary, special needs, state, independent etc
Brief description of your child's difficulties
*
e.g writing, spelling, reading, concentration, anxiety etc.
I want to register my child (aged 8-11) for the 7 week course starting on 7th June 2020
yes
no
Thank you!
