Mandarin Club booking form

Our Year 5/6 Mandarin Club held on Tuesdays at The Queen's Senior School (City Walls Road).

Please register below for a place in this club...

Your Child/Children

First Name *

Last Name *

Age *

D.O.B *

Name of current school *

Parent 1 Information

Title *

First Name *

Last Name *

Parent 2 Information

Title

First Name

Last Name

Contact Information

Full Address *

Postcode

Home Telephone

Email *

Mobile *

Further Information

Emergency contact number for your child at Mandarin Club *

Details of any medical conditions or special educational needs

Details of any special dietary requirements e.g. food allergies, intolerances, coeliac, vegetarian

Any comments or questions?

Parent/guardian completing this form

First Name *

Last Name *

How did you hear about us? *

Keeping in touch

How would you like us to continue to keep in touch with you about the club and provide any other information which may be of interest?

Email *

Yes

Post *

Yes

Telephone *

Yes

If you have not already got a copy of The Queen’s School Prospectus and would like to receive one please tick here

Yes

Image Permission

We may take images of prospective pupils at events. Some are necessary such as CCTV. Other uses may include our website, social media, newsletters, marketing information and the press. Please indicate below if you consent to your daughter's image being used in this way. You may withdraw consent at any time in the future by contacting the IT Director, however it may not be possible to change printed publications.

Please tick one box *

Yes

No (The school will continue to process images for CCTV, administration or where we require it and is otherwise lawfully entitled to do so)

Leave this field blank

Mandarin Club booking form

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