Registration form – science lessons

Child's full name (required)

Date of birth (required)

Select the day and time you wish to sign up for (€75 per month)

Name of Parents / Guardians (required)

A Contact number (required)

Parent Email Address (required)

Does your child have any health problems and/or mental problems and/or phobias and/or learning difficulties and/or allergies? (If yes please specify).(required)

I hereby give you specific and clear permission and consent to take photographs/videos of our child during the provision of your services to us, for the purpose of appearing on your Website or Social Media for, inter alia, direct or other marketing purposes.

I Agree with the Terms and Conditions, Privacy Policy, Data Subject Rights Policy.