Virtual Programme Registration

Student Information
Student Name*
School*
Date of birth*
DOB Day*
DOB Month*
DOB Year*
Student Hobbies*
Tick all that apply
- Drama
- Art
- Reading
- Baking
- Music
- Sports
- Debate
Student Email*
Parent Information
Parent Name*
Parent Email*
Further Information
- I would like to hear about your parent/family courses
Code of Conduct
Code of Conduct*
- I agree to the code of conduct and will ensure my son/daughter has a copy and will adhere to this code of conduct during the online course