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Top Grades Year 7 to 13 Enquiry Form
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* Indicates required question
Student Name
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Current year at school
*
Your answer
Gender
*
Male
Female
Name of Parent / Guardian
*
Your answer
Email address
*
Your answer
Postal Address
*
Your answer
PostCode
*
Your answer
Phone
*
Your answer
Mobile
*
Your answer
Current school or last attended
*
Your answer
Which subjects are you interested in?
Your answer
I am interested in
Check all that apply
Group lessons (maximum 4 or 5 students)
One-to-one
Other:
For GCSE and A level Literature, please supply information on chosen exam boards and texts
*
Your answer
Does the student have any special educational needs
*
Your answer
How did you hear about Top GrAdes Learning Centre?
Online search (Google/Bing etc)
Driving/ walking past the building
Referral from a current student
Our Facebook page
Flyers/ posters
I am a returning client
Other:
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