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Student Enquiry Form
Student Enquiry
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Please Use a Separate Enquiry for Each Student.
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Compulsory fields.
Today's Date:
Student's Surname:
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Student's Given Names:
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Student's Date of Birth:
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Student's Current Grade at School:
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Name of Student's School:
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Preferred Phone Number:
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Postal Address:
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Email:
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I Would Like Some More Information on the Following:
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(You May Tick More Than One)
Mrs Penn's School Readiness
Program - 3 - 6 Years
Kindergarten
Year 6
School Certificate Subjects
Years 7 - 10
High School Certificate Subjects Years 11- 12
Selective High / Scholarship Exams
Speech Therapy
Adult Literacy / Numeracy
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Please indicate preferred centre, times and days:
Centre is:
Eleebana
Charlestown
East Maitland
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Get Ahead Learning (formerly Fiona Young Tuition) regards this enrolment enquiry as a confidential document. But we reserve the right to use your information for the purpose of communicating with you. If you would prefer us not to use your details to communicate with you please tick here.
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