Academia Registration Form Primary & Secondary
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YOUR PROMOTIONAL CODE:  School Code or other Promotional Code - please write below
Parent's full name *
Parent's home address: *
Parent's telephone number: *
Parent's email address *
Child's first name: *
Child's last name: *
Please tick: *
Required
Email address the child will use to access the Online Classroom *
Your child's current year group: *
BRITEKID PRIMARY TUITION                                             Your preferred subjects - Please tick all that applies: *
Required
ACADEMICS SECONDARY TUITION                                             Your preferred subjects - Please tick all that applies: *
Required
ACADEMICS GCSE & A-LEVEL TUITION                                             Your preferred subjects - Please tick all that applies: *
Required
Thank you for completing the form, we will be in touch soon!
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