Champs Learning - 11 Plus | GCSE

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Online Classroom Online + Classroom

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Group Classes One To One Classes

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Student Basic Details

First Name *

Last Name *

Gender *

Date of Birth *

Name of the current school *

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

Email Verification Code *

Mobile Number *

Class Start Date *

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 *

Father's Name

Father's Phone

Father's Email

Mother's Name

Mother's Phone

Mother's Email

Student Address Details

If Guardian Address is Current Address

Correspondence Address *

If Permanent Address is Current Address

Permanent Address *

Medical Details

Does the above named student have a known medical condition that we need to be aware of? * Yes No

If yes, please provide details:

If yes, please confirm that your child knows which substances they are not allowed to consume. Yes No

If yes, please provide details:

Payment Option

Fees Plan *

Monthly

Quarterly

Annual Fees

Payment Mode *

Cash On Counter

Bank Transfer

Pay By Debit/Credit Card

Bank Name	Barclays Bank
Account Name	Champs
Account Number	53446751
Sort Code	204273
Reference	Your Child Name

Note:

Multiple Subject discount is available to all courses except any of the 11 Plus
Discount is not applicable for Workshop, Summer Camp and Mock Test
5% discount will be applied if you choose quarterly payment. 10% discount will be applied if you select full payment.
For monthly fees no discount will be applicable.
We have one month notice period policy. The deposit amount will be adjusted in the last month of the course or in lieu of one month notice period.
The deposit covers your last month’s fees or 30 days’ written notice period. If you wish to withdraw before the course end, one months notice is mandatory. You will forfeit the deposit if you fail to give written notification.

Fees Details

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

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

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