Ascend Tech Academy Ltd - Student Enrolment Form

Welcome to Ascend Tech Academy

Thank you for choosing Ascend Tech Academy. Please complete this form to provide us with the information we need to enrol the student and identify the most appropriate lessons or programme.

What happens next?
Once your enrolment form has been submitted, a member of the Ascend team will review the information provided and contact you regarding the appropriate programme and next steps.

Fields marked with an asterisk (*) are required.

Parent / Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Email Address

Confirm Email

Mobile / WhatsApp Number

Address

Address Line 2

City

Country

Second Parent / Guardian. Complete this section if another parent, guardian or emergency contact(Optional)

Relationship to Student

First Name

Last Name

Email Address

Mobile

Additional Contact Receives Academy Communications?

Yes

Additional Contact Authorised to Collect Student?

Yes

FAMILY PREFERENCES

How Did You Hear About Ascend Tech Academy?

Marketing Communications

Yes

FAMILY DECLARATIONS

Terms & Conditions Accepted

I confirm that I have read and agree to the Ascend Tech Academy Terms & Conditions.

confirm that I have read the Ascend Tech Academy Privacy Policy and understand how my personal information and the student's information will be collected, used and stored.

Student information

Student First Name

Student Last Name

Date of Birth

Current School

Current Year / Grade (From September 2026)

Preferred Start Date

Current Curriculum

Current Level / Experience

PROGRAMME SELECTION

Area of Interest

Preferred Subject / Programme

Preferred Lesson Format

LEARNING & SUPPORT

Has the Student Received Tuition Before?

Yes

Learning Goals

Additional Student Information

Learning, Medical & Support Information

STUDENT CONSENTS

Emergency Medical Consent

I authorise Ascend Tech Academy to obtain appropriate medical assistance for the student in the event of an emergency if a parent/guardian or emergency contact cannot be reached.

Photo & Video Consent

Yes

Please Ask Me Each Time

Add Another Student