Please register your interest in Beauchamp City 6th Form

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* 1. Parent Forename

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* 2. Parent Surname

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* 3. Student Forename

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* 4. Student Surname

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* 5. Student Mobile / Telephone

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* 6. Student date of Birth:

Please enter your D.O.B.

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* 7. Email (to send school updates and admissions information to)

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* 8. Student Current School

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* 9. Home Address

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* 10. Subjects interested in at A Level

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* 11. Postcode

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