Hamilton Class Request Form

Hamilton

Class Request Form
If you cannot find a suitable class time for regular term bookings, please let us know.
Options include:
- Waitlisting you for classes at times requested.
- Alternatively, If we find there is a large demand for a certain time slot (e.g. Sunday mornigs), Bricks4Kidz will consider expanding our programme to meet the demand.
Please do not fill out this form and put in a request if this is for a make-up class.
Child's Details
Child's Name:*
Date of Birth:*
DD/MM/YYYY
Child's School:*
Parents/Caregiver's Details
Parent/Caregiver Name*

First NameLast Name
Parent/Caregiver Phone:*
Parent/Caregiver Email Address:*
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
MorningAfternoon
Should be Empty: