Student Registration Details

Student First Name

Student Last Name

Date of Birth

dd 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / month January February March April May June July August September October November December / yyyy 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025

Gender

Select.... Male Female

Year Group

Select....Year 10Year 12

Academy Intake

Select....Solihull Y12 2020Solihull Y10 2020Coventry Y10 2020Coventry Y12 2020Coventry Y12 2021Coventry Y10 2021Solihull Y12 2021Solihull Y10 2021Coventry Y12 2022Solihull Y12 2022Coventry Y10 2022Solihull Y10 2022

Current Schools.

Select.... WMG Academy (Coventry) WMG Academy (Solihull) Other...... Alderbrook School Archbishop Ilsley Arden Arena Academy Ash Green Ashlawn School Aston University Engineering Academy Avon Valley School and Performing Arts College (The) Aylesford School and Sixth Form College Bablake Barr Beacon School Bilton School Birmingham Ormiston Academy Bishop Ullathorne Catholic School Bishop Walsh Catholic School Blue Coat Church of England School and Music College Caludon Castle Campion School Cardinal Newman Catholic School A Specialist Arts and Community College Cardinal Wiseman Catholic School Cockshut Hill School Coundon Court Eden Girls School Ernesford Grange Community Academy Etone College Finham Park Finham Park 2 Foxford School and Community Arts College George Eliot Grace Academy Great Barr Academy Hall Green Secondary Hartshill Heart of England School Hodge Hill College Hodge Hill Girls School Home Educated John Henry Newman Catholic College Joseph Chamberlain College Kenilworth School KESH Kineton High School King Edward VI Sheldon Heath Academy King Edward VI Stratford King Henry VIII School Kings Heath Boys Kings Norton School Kingsbury School Kingsley School Langley School Light Hall Secondary School Lode Heath School Lyndon School Lyng Hall School Myton School Nicholas Chamberlain Nicholas Chamberlaine Technology College Ninestiles Academy North Leamington Nuneaton Academy (The) Park Hall Academy President Kennedy School Academy Princethorpe Queen Elizabeth Academy Queen Mary Rugby Free Secondary School Rugby High School Sidney Stringer Academy Smith's Wood Academy Southam College St Martin School Solihull St Peters Solihull St Thomas Aquinas St Thomas More Catholic School and Sixth Form College Starbank School Stoke Park School Stratford Upon Avon School The Coleshill School Trinity Catholic School Tudor Grange Academy Kingshurst Warwick School Washwood Heath Academy Waverley School West Coventry Academy Westwood Academy (The) Whitley Academy

Parent First Name

Parent Last Name

Primary Contact Email Address

Parent Contact Telephone Number

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