The Ranges Learning Centre (Upper Beaconsfield) Enrolment Form 2026

The Ranges Learning Centre (Upper Beaconsfield) Enrolment Form 2026

Please note that the timetable is complex and we cannot always fulfill personal requests, so generally some flexibility is required. Additionally, we prioritise groups of 2 or 3 in afterschool timeslots.
Child's Full Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Child's Grade in 2026
Child's School in 2026
Parent's Full Name

First NameLast Name
Parent's Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Is your child a diverse learner? (For example dyslexia, dysgraphia, ADHD, gifted. Please include even if suspected, but not diagnosed)
Does your child have NDIS funding and will you be claiming lessons? (We are able to claim lessons under Capacity Building)
Child's strengths
Specific areas in need of further support (please be as detailed as possible).
What is your child’s current attitude towards their learning?
What sessions would you like your child to be enrolled in? Please select as many as you would like.
How many sessions a week would you like your child to attend? Please note that this will be subject to availability.
Do you prefer group or private sessions?

What days and times are suitable for you? (Please select as many options as you can)These are preferences and are not necessarily available.