Enrolment Form - Weekday Sessions (Feb -Mar 2023)
Child's Information
Child's Name
*
First Name
Middle Name
Last Name
Age
*
2
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18+
Date of Birth
*
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Day
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2025
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Year
Gender
*
Male
Female
Other
Has your child attended The Shed before?
*
Yes
No
Allergy and/or Dietary Needs
Food plays a big role at The Shed. Children will be interacting, eating and sharing food regularly. To keep your child, and others, safe, it's important we have a clear understanding of your child's dietary needs.
Please indicate below if your child has any food related allergies or food related medical conditions that we need to be aware of?
*
Yes
No
If yes please specify:
Medical and/or Physical Needs
The Shed is a practical, hands on environment. It's important that we have a clear understanding of any physical or medical needs your child may have. This information will help us to create the best environment possible for your child to make the most of their time with us.
Please indicate below if your child has any specific physical or medical needs that we should be aware of?
*
Yes
No
If yes please specify:
Supportive Environment
The Shed is an inclusive environment for all of its participants. Please let us know if your child has any specific behavioural or developmental needs that we can be made aware of. Even the smallest of detail can help us to create a better experience for your child and others.
Please share any relevant information that can help us create a more supportive environment for your child.
Parent/Caregivers Information
Parent/Caregivers Name
*
First Name
Last Name
Mobile Number
*
-
Area code
Phone number
E-mail
example@example.com
Alternative Emergency Contact
Emergency Contact's Name
*
First Name
Last Name
Relationship
*
Mobile Number
*
-
Area code
Phone number
Course Information
Please indicate below the program you would like to enrol in.
Please select the Session you would like to enrol for
*
Mini Shedders - 2 - 4 years old
Experience 3 - 5 years old
Talk 5 - 8 years old
Mini Shedders 2 - 4 years old TRIAL - $450
Experience 3 - 5 years old TRIAL - $550
Talk 5 - 8 years old TRIAL - $550
Please select the day/time you would like to join us.
*
6 Feb Mon9-1030am - 8 sessions - $3,600
Other
Please select the day/time you would like to join us.
*
9 Feb Thu3-5pm - 7 sessions - $3,850
9 Feb Fri3-5pm -7 sessions - $3,850
Other
Please select the day/time you would like to join us.
*
Other
Please select your preferred Start Date:
-
Month
-
Day
Year
Date
If you do not see a day or time that works for you please indicate below and we will be in touch to follow up, we can open a new program for you if you have a minimum of 6 kids.
Yes please contact me
Do you have any Course Credits eligible for this registration? T&C apply
*
Yes
No
Check the box below
*
I agree that my child can independently use the bathroom and is toilet trained.
Photo and Video Consent
Unless otherwise indicated, I give my consent to The Shed to use any photographs, or any edited versions thereof, that are taken of my child and/or myself while participating in The Shed courses or programs for use by The Shed in brochures and/or flyers that are distributed both as printed documents and/or on the Internet. I understand that my child’s name and/or my name will not be identified with such brochures and flyers and I agree that neither my child nor I will receive any compensation for the use of any such photographs.
Please check the box.
I give consent for photo and video footage to be taken of me and my child.
I hereby do not give consent for any photo or video footage to be taken of me/my child during The Shed programs.
Medical Authorisation
In the event of an injury or medical emergency, I allow The Shed to provide first aid, arrange transport to a medical facility, and authorise emergency treatment as recommended by a doctor for the child named above. I understand that all reasonable efforts will be made to contact the child's parent/caregiver and/or emergency contact if an injury or medical emergency occurs.
Please check the box
*
I hereby authorise The Shed to provide and arrange appropriate medical treatment should an injury or medical emergency occur.
I do not authorise The Shed to provide and arrange appropriate medical treatment should an injury or medical emergency occur.
If there is any other information about your child that you would like us to know, please write it down below.
Confirmation
I/We hereby confirm my/our child's registration in The Shed Program and agree to abide by the rules and regulations thereof. By signing my below I confirm my/our child's enrolment.
Signature
*
Date
*
/
Day
/
Month
Year
Date
Submit Enrolment
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