Pupil Information Form | Sunnydene Tutoring

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Pupil Information Form

If you have sessions scheduled for your son or daughter, please complete and submit the form.
Please note: the page will refresh and the form will appear empty once you have clicked 'submit'.

*Parent or guardian's name

*Parent or guardian's contact email

*Parent or guardian's phone number

*Pupil's name

*Pupil's date of birth

Day

Month

Year

*School attended

*Name and mobile number for an additional emergency contact

*Please provide details of any known allergies, dietary requirements or medical issues, or write "NONE".

*Does your child have any diagnosed or suspected Special Educational Needs (for example: dyslexia, ADHD, autism, speech or language needs, or processing difficulties)?

If a situation arises, where emergency treatment is deemed essential by a medical professional for the health and wellbeing of my child, I consent to Jeni Smith (or her authorised representative in her absence) giving permission for my child to receive medical treatment, if attempts to contact me and the additional emergency contact listed above are unsuccessful.

*Photo and video permission: please select one option only

My child's tutor may take photos or videos of my child during their sessions, for use in Sunnydene Tutoring social media accounts and on the Sunnydene Tutoring website. My child's first name may be used alongside any photos or videos shared.

My child's tutor may take photos or videos of my child during their sessions, for use in Sunnydene Tutoring social media accounts and on the Sunnydene Tutoring website. My child's first name may not be used alongside any photos or videos shared.

My child's tutor may not take photos or videos of my child during their sessions, for use on social media or on the Sunnydene Tutoring website. Photos of my child's work may be taken for the purposes of recording their progress only.

I have read and understood the Sunnydene Tutoring terms and conditions, and I agree to these terms.

https://www.sunnydene-tutoring.co.uk/terms-and-conditions

Signature

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*Communication preference

Email

Phone call

WhatsApp

Text or iMessage

When I have information to share that is being sent to all parents, this will be communicated via email. Please indicate above how you would prefer for me to contact you if I have specific information to share regarding your child's sessions or their progress.

©2025 by Sunnydene Tutoring Ltd

Registered Office: 72 London Road, Faversham, ME13 8SN

Registered in England. Company Registration Number: 15619778

VAT registration number: 469 8233 45

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