Cocoon Kin Kids Club
Please complete the details below for further information on our sessions
Parent Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Child/ren’s Name/s
*
First name
Child/ren’s current age/s
*
eg 4 yrs 3 mths
Intended start date
*
Month/Year
Session/s Intended
*
TUESDAY (5-9 yrs - age group flexible) 9:30am-2:30pm
THURSDAY (4-7 yrs - age group flexible) 9:30am-2:30pm
WEDNESDAY (3-5 yrs) 9:30am-2:30pm
FRIDAY (3-5 yrs) 9:30am-2:30pm
Are you currently homeschooling?
*
Yes
No
For Kindy year only
Which suburb do you reside in?
*
Please tell us a bit about your child and homeschooling journey
*
Please provide a brief history of previous/current schooling
Where did you hear about us?
*
eg Facebook / Friend
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