Star starters Registration Form

Star starters Registration Form

Four-day program, from Tuesday 27 January to Friday 30 January 2026, daily from 10.00am to 12.00pm
For whom? Children aged 4–5 years starting Kindergarten in 2026

Where? At Your Tutor Armidale, 209-213 Beardy Street, level 1

When? Tuesday 27 January to Friday 30 January 2026, daily from 10.00am to 12.00pm

Cost: $250 GST incl. per participant
Child's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Parent/Guardian Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Emergency Contact Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.
Preferred Medical Practice
Name of GP/Pediatrician

First NameLast Name
Phone Number
Please enter a valid phone number.
Any Allergies or Medical Conditions?

YesNo
Please give details
Do you want to add something about your child?
I, undersigned, agree with the following statements:

I am the parent/guardian of the child indicated above.If emergency medical care is needed and I am unavailable, I authorise the supervising teacher to seek medical treatment for my child.I am giving my permission to take my child's pictures for classroom projects and post them on Your Tutor's website.
Date

MonthDayYear
Date
Signature

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💳 Payment Details (Direct Deposit Only)
Account Name: Your Tutor in Armidale Pty Ltd
BSB: 032607
Account Number: 386292

Please add your child’s name to your bank deposit payment details to ensure your enrolment is matched correctly.
Payment must be received by the 26th January 2026
Should be Empty: