New Student Registration Form

1
Parent/Guardian Full Name* This field is required.
First Name
Last Name
2
Child Full Name* This field is required.
First Name
Last Name
3
Child Date of Birth* This field is required.
4
Phone Number* This field is required.
Area Code
Phone Number
5
E-mail* This field is required.
example@example.com
6
Does your child have any medical conditions we need to be aware of? eg. allergies, asthma.
7
Is there anything else we need to know about your child to help them have a positive experience in class?
8
Are you looking to enrol in a trial class or the full term?
Trial class (an invoice will be sent after trial conformation)
Full Term (an invoice will be sent for term fee payment)
9
If your child wishes to continue for the full term would you prefer to pay your fees;
Fortnightly
Monthly
Per term
10
Discount Code (if applicable)
11
Image Field
12
Image Field
13
What Class/es do you wish to enrol your child in?.
14
I understand that after submitting this form I will need to activate my account on the enrolment portal to confirm my child's trial registration via the link sent Please note it can take up to 24hrs for this link to be sent
Yes
15
Do you have any other questions?
Should be Empty: