Child's Info - Full name of Child Surname D.O.B Address Postcode Best Contact Number Email Gender Male Female How did you find us? Word of Mouth Poster Web Socials Other 11+ Exams in 2025 2026 Does your child have any learning difficulties, past or present? Yes No Does your child suffer from any allergies? (e.g. medicine, food, insects...) If yes, please give details Yes No Does your child have any medical conditions which we should be aware? (e.g. asthma, fits, migraine, epilepsy) If yes, please give details Yes No Does your child have any disability about which we should be aware? If yes, please give details Yes No Is your child taking any medication? If yes, please give details Yes No Has your child been in contact with or suffered from any disease which is or may be contagious or infectious, in the last four weeks? If yes, please give details Yes No Primary person to contact in case of emergency during this event is: Alternative person to contact in case of emergency during this event is: The person to contact in case of emergency during this event is: Send
