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Highway Hope 11+ Summer School 2021 Registration
Please Find The Documents Attached For All The Information
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* Indicates required question
Email
*
Your email
Summer School Type
Virtual Class
In Person Class
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Childs Full name
*
Your answer
Age
*
Your answer
Home Address
*
Your answer
Mainstream School
*
Your answer
School Year
*
Your answer
Please provide information about any medical/learning condition, and/or dietary requirement we should be aware of:
Your answer
I confirm my consent to Highway Hope holding and processing my child's personal data and to contact me by:
Post
Phone
Email
Whatsapp
Social Media
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Photo Permission?
*
To appear in the Charity’s promotional brochures, Charity website, leaflets, booklets, exhibitions and/or board
To be included in the HH Supplementary School’s collection for appropriate use by our Education Dept. within the School as required (photos will not be shared with third party).
None
Name Of Parent/Guardian
*
Your answer
Telephone Contact Number
*
Your answer
Email Address
*
Your answer
Do you give permission the named child to attend group classes at Highway Hope?
*
Yes
No
Written Signature [FULL NAME]
*
Your answer
Date?
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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