Knights of the Shed Summer Programs Enrolment Form

Summer Short and Long Program Enrolment Form 2021

Fill out the form carefully for registration
Participant Name *

First Name Middle Name Last Name
Birth Date *

Month Day Year
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Participant E-mail
example@example.com
Mobile Number
Parent/Carer Name (if under 18)

First Name Last Name
Parent/Carer Email (if under 18)
example@example.com
Parent/Carer Mobile Number (if under 18)
Please enter a valid phone number.
Emergency Contact Name

First Name Last Name
Emergency Contact Number
KnOTS would be grateful to receive permission to use media of your child for promotional purposes. I am willing for images and/or recordings of my child to be used in print publications, online publications, presentations, websites and/or social media and agree that no royalty, fee or other compensation shall be payable to me by reason of such use (please respond) *
My Programs (all operating from upstairs Area 52, 104 Elizabeth Street)
Categories: All

All

8 - 12 year olds

12 - 17 year olds

17 - 25 year olds
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8 - 12 year olds

Long Summer Program (Term 1) 9 Thursdays 4pm - 5:30pm
$ 337.50 AUD

My Little Pony Tails of Equestria Short Summer Program (holidays) Friday 15th January 12pm - 4pm
$ 100.00 AUD

Animal Adventures Short Summer Program (holidays) Wednesday 20th January 12pm - 4pm
$ 100.00 AUD

12 - 17 year olds

Long Summer Program (Term 1) 7 Sundays 1pm - 4pm *We do not operate on long weekends with Monday public holidays
$ 525.00 AUD

Short Summer Program (holidays) Thursday 21st January and Friday 22nd January 12pm - 4pm
$ 200.00 AUD

17 - 25 year olds

Long Summer Program (Term 1) 8 Fridays 2pm - 5pm *We do not operate on public holidays
$ 600.00 AUD

Short Summer Program (holidays) Monday 18th January and Tuesday 19th January 12pm - 4pm
$ 200.00 AUD

Total

$ 0.00 AUD
NDIS Number (NDIS Participants only)
NDIS Participants Please Upload NDIS Plan (not required)

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