Please complete the below enquiry form and we will be in touch with you shortly
All fields marked with an asterisk (*) are required.
First Name:*
Surname:*
Date of Birth:*
Contact Number:*
Email Address:*
Name of Parent/Guardian:*
Address:
School Name:*
Current Year/Class:*
Please specify the Exam board (Year 9-11)
Edexcel
OCR
AQA
Foundation
Higher
Does your child have a physical/ learning disability? *
(If yes, please give details):
Does your child take any medication at present?*
Emergency Contact other than parent/guardian named above:
Name:*
How did you hear about KLC:*
Ethnic Origin (Please specify):*
Permission for my Child (ren) to be photographed, or their images recorded for print or electronic use in promoting out tutoring services.
We may contact you for marketing purposes via text message/email/telephone call*
As parent/guardian I acknowledge that I have read and agree to the Terms & Conditions.*
Promotional Code:*