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Last Name *

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Students Details

Salutation

Student's First Name *

Student's Last Name *

Date of Birth *

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Mobile *

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Select your subject *

Other sibling enrolled? *NoYes

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Child Photographs Publication Consent *I agree to allow X Plus Y the use of any photographs of my child in publication related to the tuition onlyI do not allow X Plus Y the use of any photographs of my child in publication related to the tuition only

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Parent & Guardian Details