Student Registration Form

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Parent/Guardian’s Name if student under 18.

Email *

(if applicable) /

Phone Number *

Home Address: *

Postcode: *

Student's Name

First

Last

If under 18 and not named above.

Student's Email *

Student's Age / Key Stage *

Student's nationality

Required if English is not their first language.

Other information – include as many of these details as possible: *

Current School or if Home schooled; Subjects for tuition (e.g. GCSE English Language and/or Literature); if GCSE which exam board – if known (i.e. AQA, Edexcel, IGCSE etc); if English Literature which set texts are they studying?

Special or Extra Educational Needs (if applicable)

Preferred days & times available for tuition *

Please state as many as applicable. (Monday – Friday / 10am – 12 Noon / 1pm – 3pm / 3pm – 5pm / 5pm – 7pm)

Terms & Conditions *

• I confirm that I have read & accept A1 English Tuition’s Terms & Conditions

GDPR Consent *

• I consent to having this website store my submitted information so they can respond to my inquiry.

Personal information supplied will be treated as confidential and held securely in accordance with Data Protection Regulations. See our Privacy Notice for further details.

Please tick the hCaptcha box below to protect against spam abuse.

Submit

This form & website is protected by hCaptcha and its Privacy Policy and Terms of Service apply.

N.B. Your IP address and browser information may be processed to help protect against spam & malware.

By submitting this form you confirm that the information provided is accurate and that you agree to A1 English Tuition’s Terms & Conditions.

Once we have received the completed form we will contact you to agree enrolment and arrange tuition sessions.