Sport and Health Science Immersion Day Registration 2026

SPORTS AND HEALTH SCIENCE IMMERSION DAY REGISTRATION

Thursday 12th November 2026
Student Information
Student Name*

First NameLast Name
Parent Information
Parent Name*

First NameLast Name
Email Address*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Where is your child currently going to school?*

Elanora State SchoolPalm Beach State SchoolTallebudgera State SchoolCurrumbin State SchoolCurrumbin Valley State SchoolIngleside State SchoolCaningeraba State SchoolSt Augustine's Parish Primary SchoolOther
What year level is your child currently in?*
Immersion Days are designed for current Year 5 students
Do you give media consent for images that may include your child to be shared on social media?*

YesNo
Does your child require additional support during this session?*

YesNo
If yes, please explain:
How did you hear about ESHS XCELERATE Academies Immersion Days?*

Social MediaFlyer in mailInformation from your Primary SchoolBanner on School FenceOther
Should be Empty: