Revision Courses Enrolment Form - Easter 2010
12th to 17th April

We accept the following payment methods:

Visa
Visa Electron
Mastercard
Maestro
JCB
Switch
Paypal

Please use a separate booking form for each student

Please complete all fields marked by the asterisk

 

Step 1 of 6 - Student Details:

   
Forename:
*
Surname:
*
Gender:
*
Date of Birth:
Day
Month
Year
*
 
Address Line 1:
*
Address Line 2:  
City / Town:
*
Postcode:
*
Home Phone:
*
Mobile Phone:  
School:
*
Contact Email:
*

 

Step 2 of 6 - Parent/Guardian Details:

   

Surname:

*
Forename:
*
Address Line 1 (if different from above):  
Address Line 2:  
City / Town:  
Postcode:  
Home Phone (if different from above):  
Mobile Phone:  
Email (if different from above):  
Please tick where you FIRST heard about us:
We have used The Knowledge Gap before Friend / Family
Search engine Radio advert
*
Yellow Pages Yell.com
Leaflet in letterbox Newspaper or Other (please specify below)
 

 

Step 3 of 6 - Course Details:
Please list the subjects you would like to study and select the appropriate level and exam board. For A Level please state whether AS or A2. For GCSE please state the tier – Higher / Intermediate / Foundation and for science, whether Single, Double or Triple.

Subject

AT LEAST ONE SUBJECT REQUIRED
Level
Exam Board
Predicted Grade
Syllabus Number
(if known)
A-Level
GCSE
AS / A2
Tier
F / I / H
S / D / T
Science
1
2
3
4
5
6
 

Step 4 of 6 - Calculate Costs:

 

Press the button below after filling in your course details to calculate your course costs

 
   
Your total amount payable is: £
Your minimum deposit payable is: £
   

We accept the following payment methods:

Visa
Visa Electron
Mastercard
Maestro
JCB
Switch
Paypal
 

Step 5 of 6 - Agree and Submit:

I have read, fully understand and accept The Knowledge Gap's Terms & Conditions
and I agree to the costs payable in the boxes above

PLEASE REVIEW ALL OF YOUR DETAILS CAREFULLY BEFORE SUBMITTING THE BOOKING FORM

Terms and Conditions - Please read carefully: