ClEveR CLoGs Tuition Centre REGISTRATION FORM 2022/2023 Surname *Forename *Date of birthFull Postal AddressPostcodeName of Parent/sOccupationTelephoneMobileEmail *Emergency contact name & numberCurrent educationPresent SchoolYearPlease circleKS2KS3GCSEASA2MathsEnglishBiologyPhysicsChemistry11+ CourseOther information, including: disability/medical/special needsRegistration fee : £20 (non refundable)6 Session fee £12 session fee £Half term/Full term (Gcse studentsTotal £(Non-refundable should you decide to abort Cleverclogs before the sessions have been used)I have fully read and accepted the terms and conditions of this registration contract & understand that I need to take a minimum of 6 hours tuition over six weeks.For office use onlyConsent Form for PhotographsNameDateCleverclogs Tuition centre would like to take photographs and or video recordings of pupils whilst they attend the centre to celebrate their achievements and successes. Still or moving images may be published in our printed publications (e.g. newsletters) and/or on our external websites (www.cleverclogspt.com).Children’s names will never be published alongside their photograph externally to the school. Names may be used internally, for example – on a display. Photographs / videos may also be published for internal use only, as part of children’s regular classroom work e.g. on classroom displays, within multimedia projects (e.g. PowerPoint), to share educational achievements. Electronic images, whether photographs or videos, will be stored securely in Cleverclogs network which is accessible only by authorised users.Before using any photographs/videos of your child we need your permission. Please answer questions 1 to 4 below, then sign and date the form where indicated.1. May we use your child’s photograph in printed publications produced by CleverclogsTuition CentreYesNo2. May we use your child’s photograph on our internet websites(a) As part of a large group or whole tuition centre activity?YesNo(b) showing an individual activity? (e.g. holding a winner’s trophy)YesNoPlease note that the above is a very important way of promoting the activities of the centre and celebrating in the many wonderful achievements of our children and the centre would greatly appreciate 100% support for this.3. May we allow your child’s photograph (e.g. as part of a team or record of a classroom event) to be used for publication in a newspaper?YesNoPlease note that the use of photographs in newspapers is subject to strict guidelines and parents should not have particular concerns about their use.4. May we use any photograph or video of your child internally as part of the regular curriculum and work of the tuition centre?YesNoThis form is valid from the date of signing until your child leaves the centre. Photographs and videos may be securely archived after your child has left the centre but will not be re-used or re-published externally without renewed consent. Archiving provides a valuable record of the tuition centre’s history for future generations.DateCheck This Box *once submitted terms and conditions and method of payment will be sent to your email addressRegistration