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Saturday Club Enrolment Form

Your Course(s)

Course NameStart DateEnd DateSiteTotal Fees
SATURDAY CLUB (12-15) - BLOCK 6 (JUNE - JULY)21/06/202512/07/2025Middlesbrough Campus£40.00

The total fee above is the cost of the Block.

Personal Details

Data Protection

Child's Personal Details

Legal Surname*
Legal First Forename*
Other Forenames
Known As
If different from your legal first forename
We use this for internal systems, e.g. registers and also when we contact you /your parents/guardian/carer
Title*
Date of Birth* (Please type in dd/mm/yyyy format)
Legal Sex*
Mobile Tel No.* (no spaces and starts with 07)

Home Address

No. & Street*
Town*
County

Nationality, Equality and Diversity

What do you consider to be your Ethnicity*
Have you lived continuously in the UK, Channel Islands or Isle of Man for more than 3 years on the first day of your course?

If you have not been a resident of the UK and Islands for 3 years you may not be entitled to funding - we will need to collect more information from you to determine your eligbility

Visa Type
Date of Entry into the UK (If non UK or EU resident)

Parent/Guardian/Carer Contacts

For children on the saturday clubs we use this for the communications, primarily this is by text message or email

Primary Contact

Contact First Name*
Contact Surname*
Relationship to you*
Contact Phone number*
Contact Email Address
Do you live with this person?*

Secondary Contact

We will use this where cannot contact the primary contact
Contact First Name*
Contact Surname*
Relationship to you*
Contact Phone number*
Do you live with this person?

Support

Do you consider yourself to have a learning difficulty, disability and/or health problem that could affect your learning or use of the facilities at the School?*
Please use this section if you had support any other support reason.