Billing Details

First Name *

Last Name *

Country/Region *United Kingdom (UK)

Street address *

Apartment, suite, unit, etc. (optional) (optional)

Town / City *

State / County (optional)

Postcode / ZIP *

Phone *

Email Address *

Emergency contact number *

Child’s First Name *

Child’s First Name *

Child’s Last Name *

Allergies / Medical Conditions *

Child’s Gender *

Current School Year *

Booking for more than one child? *NoYes

Child’s Last Name *

Workshop/Session/Item *Which item is allocated to this child

Allergies / Medical Conditions *

Existing Kip Member? *Existing Kip MemberNon-Kip Member

Additional Childs’ First Name *

Additional Childs’ Last Name *

Additional Childs’ Gender *

Additional child School Year *

Workshop/Session/Item *Which item is allocated to this child

Additional Childs’ Allergies/Medical Conditions *

If in KS2 (year 3-6) which subject is this for? (optional)

How would you describe your childs’ ability? *BehindOn TrackAhead

Does your child have any additional learning needs? (optional)

Are there any areas or targets you wish to focus on? (optional)

Order Notes (optional)

Do you give permission for your childs photo to be taken? *YesNoDo you give permission for your childs photo to be taken?

Photo permission

By agreeing to give permission to photos/videos being taken of your child, they may be used in our Key Tuition magazine, newsletters, leaflets, our website & on social media

How did you hear about this event? *

Your Order

Your personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our privacy policy.

Place order