Student Registration Form

Student Details

Student First Name*

Student Last Name*

Student Phone Number*

Student Email*

Date of birth*

Day-Month-Year

Gender*

Full Home Address

Postal code*

Full School Name*

Student Level in 2025*

Stream*

Parent Details

Parent Name (Primary)*

Parent Phone (Primary)*

Parent Email (Primary)*

Parent Name (Secondary)

Parent Phone (Secondary)

Parent Email (Secondary)

Check out the 2025 Class Schedule 👉 here

Choose a time slot that fits your schedule from the options provided. Once you’ve selected your time slot, you’ll receive a confirmation email. If your chosen time is unavailable, we will contact you to arrange an alternative.

Preferred Lesson Subject 1

Preferred Timing*

(Indicate Day and Time)

Lesson Start Date*

Month/Day/Year

Lesson Subject 1*

Lesson Location 1*

Lesson Attending 1*

Lesson Tutor's Name (if applicable)*

Preferred Lesson Subject 2

Preferred Timing 2

(Indicate Day and Time)

Lesson Start Date 2

Month/Day/Year

Lesson Subject 2

Lesson Location 2

Lesson Attending 2

Lesson Tutor's Name 2 (if applicable)

Preferred Lesson Subject 3

Preferred Timing 3

(Indicate Day and Time)

Lesson Start Date 3

Month/Day/Year

Lesson Subject 3

Lesson Location 3

Lesson Attending 3

Lesson Tutor's Name 3 (if applicable)

How did you hear about us?*

Acknowledgement

Terms and conditions here

I have read and accept the Terms and Conditions. I understand that the Terms and Conditions are subjected to changes.*

I agree to be contacted for feedback to help improve Overmugged services*

By submitting my information, I consent to the collection and use of my personal data in accordance with the privacy policy.*