Champs Learning

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*Fields are mandatory.

Student Basic Details

First Name *

Last Name *

Batch

Gender *

Date of Birth *

Name of the current school

Student Email * Login details will be sent to this email

Email Verification Code *

Mobile Number *

Total Fees To Be Paid: £ 0.00

Parent / Guardian's Details

Guardian Name *

Guardian Email* ^{Parent login details will be sent to this email}

Guardian Phone *

If Guardian Is *
Father Mother Other

Guardian Relation *

Emergency Details are same as Guardian Details

Emergency Contact Name *

Emergency Contact Number *

Guardian Address *

Post Code *

Photographs of the students may be taken occasionally during their stay with us for use in promotional materials such as brochures and the website.

Please indicate if you agree for your child`s photo to be used for these purposes. Yes No

Terms and Condition

I have read, accept and consent to my data being stored and managed as outlined in Champs Learning’s privacy policy. Click here Policies And Procedures.

I have read and agreed to Champs Learning's Terms and conditions. Click here for Terms and Condition.

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* All batches for Summer Camp of 11 Plus are fully booked. Please fill in the enquiry form for future summer camp classes.

Name *

Email *

Mobile Number *

Year *

Message *

How did you hear about us? *

Other Source

I allow Champs Learning's team to contact me by phone or by email.

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