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What is your name? ^*

(Parent's name)

First ^*

Last

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Thanks ___! What's the student's name? ^*

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Amazing! And is ___ in Primary School or Secondary School? ^*

Secondary School

Primary School

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Great! What class is ___ in? ^*

1st Class

2nd Class

3rd Class

4th Class

5th Class

6th Class

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Great! What year is ___ in? ^*

1st Year

2nd Year

3rd Year

4th Year

5th Year

6th Year

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Perfect! And is ___ in Higher Level or Ordinary Level?

Higher Level

Ordinary Level

Not Sure

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What are ___'s current results? ^*

(Use their most recent exam. It doesn't have to be accurate 😀)

0-20%

20-40%

40-60%

60-80%

80%+

Not sure

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Almost done! We need your email & phone number so we can book your trial class and deliver the notes! ^*

Parent's Email ^*

Parent's Phone Number ^*

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Any other information? (expectations, goals, current level, potential learning disabilities etc.)

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Thanks ___ , check your email!

We can't wait to get started! The free notes have been sent to your inbox, and we'll be in touch to schedule in ___'s free trial ASAP!

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