If you are applying for a place on any of the courses listed above, please complete and submit this form: The information requested on the form is important and we would like you to complete it fully. We will reply to you within 24 hours and arrange an interview for you to discuss your requirements with us. Students wishing to join Summit Saturday School must sit a test in the subject they wish to study. There is a charge of £40.00 for the assessment however this is deducted from your first invoice.

Thank you for your interest in Summit Saturday School. We look forward to meeting you.

Parent or guardian's name:

Address:

Student's name:

Date of birth: Age: Current school: School year:

Student's address (if different):

Does your child take any medication? No Yes Does your child have special needs? No Yes

If answered yes to above please give brief details:

In the event of an emergency who should we contact?

Contact name:

Contact address:

Contact telephone number: Contact mobile: Contact Email:

Subjects requested:

Verbal Reasoning Non Verbal Reasoning English Science Maths French Spanish

Reason why you are applying to Summit Saturday School:

Enter Promotion Code: