Enrolment – Strong Start Learning

Student Name

First Name

Last Name

Age

Year Group

Any Learning Difficulties

Any Learning Difficulties or Diagnosed SEN (e.g. ADHD, dyslexia)

Any Specific Focus / Goals?

Reading Fluency & Understanding

Writing Confidence

Spelling & Handwriting

Number Fluency

Solving Maths Problems

Overcoming Learning Challenges

Overall Confidence at School

Other Focus Areas or Additional Info

Confirm your Preferred Programme Option

e.g. 6 week, 12 week, 18 week or 24 week programme. Please specify your preferred days and times for live lessons.

Parent / Guardian Name

First Name

Last Name

Parent Email

Parent Contact Number

Parental Consent

I consent to my child participating in online classes.

I understand that my child’s information will be stored securely and used only for educational purposes.

I agree to the terms and conditions of Strong Start Learning.

Video Recording

I give permission for lessons to be recorded for quality & safe guarding purposes.