Afterschool Tutoring Enrollment

Afterschool Tutoring Registration Form

Please provide accurate information. Enrollment is confirmed after review, availability, timetable agreement and applicable fees.

1Enrollment

2Guardian

3Learner

4Programme

5Schedule

6Support

7Medical

8Declaration

Enrollment Information

Who is this enrollment for?

Enrollment is for *

A child or young person under 18An adult learner aged 18 or above

Parent or Guardian Information

For adult learners, enter your own contact information.

Full name

Relationship to learner

Primary phone number

Alternative phone number

Email address

Preferred communication

WhatsAppPhone callEmail

Learner Information

Tell us about the learner requiring support.

Learner’s full name *

Date of birth *

Learner’s phone number

Learner’s email address

Home address or area *

Primary language(s) *

Current school, college or institution *

Current grade, year or learning level *

Gender *

MaleFemalePrefer not to say

Programme Requirements

Select the learning support required.

Subject or learning area requiring support *

Main reason for enrollment *

Preferred attendance method *

Schedule and Availability

Tell us when the learner is available.

Preferred starting date *

Sessions per week *

Preferred starting time *

Preferred finishing time *

Learning Profile and Support

This helps us plan suitable support.

Current academic performance or main learning concerns

Learner’s strengths, interests or preferred activities *

Diagnosed or suspected additional needs? *

Relevant details

Previous or current support *

Relevant assessment report or learning document? *

Emergency and Medical Information

Provide a reliable emergency contact and essential health information.

Emergency contact’s full name *

Relationship to learner *

Primary emergency phone *

Alternative emergency phone

Medical condition, disability or allergy? *

Relevant medical details and instructions

Relevant medication? *

Medication details and instructions

Normal departure arrangement *

Permissions and Declaration

Review and confirm the following statements.

I consent to EMLC securely keeping attendance, assessment, progress and communication records required to administer the learner’s programme. I consent to receiving schedules, invoices, payment information, programme updates and learner progress through the contact details provided. I confirm that the information provided is accurate and complete. I understand that enrollment is subject to availability, timetable confirmation, fees and EMLC policies.

Afterschool Tutoring Registration

Download Supporting Documents