College Admissions Form

Shooting stars booking form

Enter your admission information below
Child's Information
Name*

First NameMiddle InitialLast Name
Birth Date*

DayMonthYear
Parent/Carer Information
Name*

First NameLast Name
Relationship*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Additional Emergency Contact Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Collection Password

In the event a child needs to be collected by someone other that the parent/carer we will ask for a password to be provided by the person collecting.

You should not share this password unless necessary.
Password*

Medical Information
Medical Information for emergency purpose
Will any medication need to be administered while attending the club?*

Yes (a permission form will need to be completed)Maybe (a permission form will need to be completed)No

Dietary Requirements
Food and Drink Arrangements*

The child will be bringing a packed lunchWe would like food and drink to be provided by the club
Are there any food or dietary requirements we need to be aware of?*

YesNo
If yes, please provide details*
Should be Empty:

Shooting stars booking form