Enrolment Form

Please complete your details on the enrolment form and click “Submit”. Refer to Timetable for details of class times and availability. We will contact you to confirm your class. Please submit one enrolment form per child.

CHILD INFORMATION
First Name
Last Name
Date of Birth
Sex	Male Female
Address
Postal Address (if different from above)
Please enrol my child in	-- Select a Class Option -- Early Childhood 1 - 2 ½ years Early Childhood 2 ½ - 4 years Primary Years 1 - 2 Primary Years 3 - 4 Primary years 5 - 7
My preference for day is:	-- Select a Preferred Day -- Monday Tuesday Wednesday Thursday Friday
My preference for time is:	-- Select a Preferred Time -- 9.15 - 10.00 10.00 - 10.45 2.00 - 2.45 3.45 - 4.30 4.30 - 5.15 5.15 - 6.00
Days I am not available
PARENT INFORMATION
First Name
Last Name
Home Telephone
Mobile Telephone
Email Address
Emergency Contact
Emergency Telephone
HEALTH INFORMATION
Does your child have special health or learning needs?	Yes No
If yes, what are they?
PAYMENT INFORMATION
Please refer to Timetable & Fees for tuition costs. A $35 non-refundable deposit per student is required to reserve place. This will be deducted from the first term’s fees. Fees must be paid before the first lesson or enrolment will be cancelled. We will contact you to arrange payment.
Prefered method of payment	-- Select a Payment Option -- Cheque Credit Card Electronic Transfer
How did you hear about us?
Form Verification