Year 13 Regular Problem Solving Classes 2019-20

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Please complete this booking form for students wishing to attend the Year 13 regular problem solving classes at Poole High School: Please complete a separate form for each student who wishes to attend.

Name of the teacher responsible for the booking *

Contact email address for booking *

Please type carefully!

Student Name *

Please complete a separate form for each student wishing to attend. You will be given the option on completion of each form to submit another.

Student's school email address

Information will be sent directly to each student attending via their school email but the named teacher will be copied in to all correspondences.

University applications:

If you know which universities the student is applying to please indicate below; please tick any that apply

Cambridge

Oxford

Durham

London School Of Economics and Political Science

Warwick

Lancaster

Imperial College

Other:

Intended Degree Course

If you know the course or course the student named above is applying for please indicate below.

Mathematics

Mathematics Rich Course

Other:

Name of School/College *

School's Postcode

Payment Arrangements

Thanks to DfE funding this course is free to students in state funded schools. Students from independent schools are very welcome but please give details of where we should send an invoice for the cost of your booking.

Please confirm that your school/college has a current registration with the AMSP: *

If not, please register asap at www.amsp.org.uk

Yes Registered

No, will register soon

Notes

Please add any notes which may be useful, for example, will be unable to attend day 2, have difficulty hearing on right hand side etc...

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