Course Registration

Course	Non-refundable deposit
Term-time course	£180
Easter Intensive Course	£100
Summer Intensive Course	£100 for each week booked

Parent or Guardian (primary contact) *

First

Last

Email *

Confirm Email

Phone number *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

What is your relationship to the student? *

Do you wish to provide details of a second parent or guardian?

They will not receive an order confirmation email but we will retain their details as a second emergency contact.

Parent or Guardian (secondary contact) *

First

Last

Email *

Phone number *

Child's First Name *

Child's Surname *

If the student prefers to be called by another name, please state the name here

Gender *

Male
Female

Child's date of birth *//

Child's current age *

Child's current school year *

Does the student have any allergies or medical conditions that we need to be aware of? *

Please specify the student's allergies or medical conditions *

Does the student have any special needs that we need to be aware of? *

Please specify the student's special needs *

Which exams will they be sitting? *

CEM
GL Assessment
Common Pre-tests

Child's current school (including town) *

Please specify the names and phone numbers of other people authorised to collect the student from lessons

Which course would you like to book today? *

Term-time course (Year 4 or Year 5)
Intensive Easter course (Year 5 only)
Intensive summer course (Year 5 only)

When will the student start their term-time course? *

The student is welcome to join part way through a year. We will send you a personalised payment schedule.

When will the student attend their intensive Easter course? *

When will the student attend their intensive summer course? *

Which type of course would you like to book? *

Year 4 term-time course
Year 5 term-time course

Note: If you book a Year 4 course, they student will be guaranteed a place in Year 5 and you will not need to complete this form again.

Which Year 4 course would you like to book for the academic years starting September 2020 or beyond? *

Beaconsfield - Wednesdays: 4.30-7.00pm
Little Chalfont - Saturdays: 12.30-3.00pm
Stoke Poges - Saturdays: 9.30am-12.00pm
Stoke Pages - Saturdays: 12.30-3pm

As you selected Year 4 above, you have been presented with our Year 4 course options only. If you meant to select Year 5, please amend your choice in the previous option.

Which Year 5 course would you like to book for the academic years starting September 2020 or beyond? *

Amersham - Wednesdays: 4.30-7.00pm
Aylesbury - Saturdays: 9.30am-12.00pm
Beaconsfield - Mondays: 4.30-7.00pm
Beaconsfield - Thursdays: 4.15-6.45pm
Beaconsfield - Saturdays: 9.30am-12.00pm
Beaconsfield - Saturdays: 12.30-3.00pm
Chalfont St Peter - Saturdays: 3-5.30pm
Little Chalfont - Saturdays: 9.30am-12.00pm
Stoke Poges - Saturdays: 9.30am-12.00pm
Stoke Poges - Saturdays: 12.30-3.00pm

As you selected Year 5 above, you have been presented with our Year 5 course options only. If you meant to select Year 4, please amend your choice in the previous option.

Which Easter 2020 Course would you like to book? *

Stoke Poges (Mon 6th - Thurs 9th April 2020) - 1.30pm

Which location would you like to book for the summer course? *

Amersham
Beaconsfield
Stoke Poges

Which course would you like to book in Amersham? You can book up to 3 courses as each is unique *

Course 1 (Mon 3rd - Fri 7th Aug 2020) - 10am
Course 2 (Mon 17th - Fri 21st Aug 2020) - 10am
Course 3 (Mon 24th - Fri 28th Aug 2020) - 10am

There are a choice of three Year 5 Summer 11 Plus Intensive Courses in summer 2020. As the course content changes every week, the student can attend one, or any number of these weeks.

Which course would you like to book in Beaconsfield? You can book up to 3 courses as each is unique *

Course 1 (Mon 3rd - Fri 7th Aug 2020) - 10am
Course 2 (Mon 17th - Fri 21st Aug 2020) - 10am
Course 3 (Mon 24th - Fri 28th Aug 2020) - MORNING (10am)
Course 3 (Mon 24th - Fri 28th Aug 2020) - AFTERNOON (1.30pm)

There are a choice of three Year 5 Summer 11 Plus Intensive Courses in summer 2020. As the course content changes every week, the student can attend one, or any number of these weeks.

Which course would you like to book in Stoke Poges? You can book up to 3 courses as each is unique *

Course 1 (Mon 3rd - Fri 7th Aug 2020) - 10am
Course 2 (Mon 17th - Fri 21st Aug 2020) - 10am
Course 3 (Mon 24th - Fri 28th Aug 2020) - MORNING (10am)
Course 3 (Mon 24th - Fri 28th Aug 2020) - AFTERNOON (1.30pm)

There are a choice of three Year 5 Summer 11 Plus Intensive Courses in summer 2020. As the course content changes every week, the student can attend one, or any number of these weeks.

Payment preferences

When would you like to pay the term-time course fees? *

Termly (with a 10% discount)
Monthly
Yearly (with a 12% discount) - only applies to courses starting September 2020

Note: If the student is starting a course this academic year, we will send you a payment schedule within two working days of submitting this form. If the student is starting later, we will send the payment schedule in advance of our payment deadlines.

Will you be using Childcare Vouchers, Tax-Free Childcare or the Childcare Grant Payment Service to pay towards the student's fees? *

No
Childcare Vouchers
Tax-Free Childcare
Childcare Grant Payment Service

Which Childcare Voucher scheme are you a member of? *

How did you hear about us? *

Word of mouth
My other child studies/studied with you
Search engine (Google, Yahoo etc.)
Classlist
Magazine advert
Other

How did you hear about us? *

Please sign to confirm that you agree to the terms and conditions within our Tuition Agreement. You can try again by clicking the grey cross at the top of the box. *

By signing here you agree to the terms and conditions in our Tuition Agreement. You can sign using your mouse or touch screen.
For courses starting September 2020 onwards we will require payment of all fees by Direct Debit (with the exception of deposits and payments made using Childcare Vouchers or Tax-Free Childcare). We will send you a Direct Debit Mandate in advance of your first invoice of fees.

I would like to sign up to receive Marie Redmond Tuition news, events and discounts to the email address I've provided

Reserve a Year 4 term-time place now with a £180 deposit. *

Price: £ 180.00

A non-refundable deposit of £180 is required. For new students, a £50 administration fee is deducted and the remaining £130 is put towards course fees. For existing students (those who attended a Year 4 course), the full £180 deposit is put towards course fees.

Reserve a Year 5 term-time place now with a £180 deposit. *

Price: £ 180.00

Reserve a Year 5 Easter course place now with a £100 deposit *

Price: £ 100.00

A non-refundable deposit of £100 is required. For new students, a £50 administration fee is deducted and the remaining £50 is put towards course fees. For existing students (those who attended a Year 4 or Year 5 course), the full £100 deposit is put towards course fees.

Reserve 1 x Year 5 summer course now with a £100 deposit *

Price: £ 100.00

Reserve 2 x Year 5 summer courses now with a £200 deposit (£100 for each course) *

Price: £ 200.00

A non-refundable deposit of £200 is required. For new students, a £50 administration fee is deducted and the remaining £150 is put towards course fees. For existing students (those who attended a Year 4 or Year 5 course), the full £200 deposit is put towards course fees.

Reserve 3 x Year 5 summer courses now with a £300 deposit (£100 for each course) *

Price: £ 300.00

A non-refundable deposit of £300 is required. For new students, a £50 administration fee is deducted and the remaining £250 is put towards course fees. For existing students (those who attended a Year 4 or Year 5 course), the full £300 deposit is put towards course fees.

Debit or Credit Card (VISA, Mastercard or American Express) for payment of the above deposit only *

Card

Name on Card

Deposit

Registration form

Payment preferences