Booking Form
Preparation Classes
Cuboid Tuition Centre (please call us to book a class and hand the completed form to us or return by e-mail)
New Classes Start September 2012
Please circle the day and time that suit you:
Mon Tues Wed Thurs Fri
4-5pm 4-5pm 4-5pm 4-5pm 4-5pm
5-6pm 5-6pm 5-6pm 5-6pm 5-6pm
6-7pm 6-7pm 6-7pm 6-7pm 6-7pm
7-8pm 7-8pm 7-8pm 7-8pm 7-8pm
Prices: One to One £20
Two to One £10 each (similar needs)
Group sessions (similar needs) 6 GBP each
Cuboid Tuition Centre
Mobile: 07787 546 542
Email: cuboideducation@.hotmail.com
Web:
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https://cms.cuboideducation.webnode.com
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cuboideducation.blogspot.com
I would like to register my child in the classes circled above
Child’s Name: ………………………………………DOB .……………….
Address: ……………………………….……………………………………
E-mail:
Contact numbers (include mobile and emergency number):
1 Name …….……………… Tel ………………………….……………..
2 Name …….………………. Tel ………………………….…………….
Please circle relevant class: Key Stage 1 / Key Stage 2 /
Key Stage 3 / GCSE / School Entrance Examination – Year ……….
Subject(s): …………………………………………………………………
Special Needs / Allergies / Medical Condition …………….. …………
I am returning this slip with payment of £ ………………………………
Cheques payable to: M Zagoritou
Parent’s Name: ………………… ………………………………………..
Signature …………………………..…… Date …………………….……
If required children can bring their own drink and snack, water will be provided. Children should bring their own notebook and pencil case.