Clone of SCCALA Inc Student Enrolment Form

SCCALA Samoan Language School Registration Form - Term 4, 2026

Please fill out the form carefully for registration
Hi {studentName},

Thank you for registering for Term 4, 2026 SCCALA Samoan Language School.

For online classes, Zoom links will be sent in a separate email once ready.

All fees to be paid in full before the first class commences.

Term 4 classes will commence on the below days following the NSW School Term.

CHILDREN'S ONLINE CLASS (KINDY-YEAR 12)
- Every Mondays
- Starts 19th of October, 2026
- 5.30PM-6.30PM (SYDNEY time)
- Via Zoom video link
CHILDREN'S FACE TO FACE CLASS (KINDY-YEAR 12)
- Every Tuesdays
- Starts 20th of October, 2026
- 5.00PM-7:00PM (SYDNEY time)
- CHIFLEY COLLEGE BIDWILL CAMPUS, NSW
  > Kidd Close Entrance
ADULT ONLINE CLASS (BEGINNER)
- Every Wednesdays
- Starts 21st of October, 2026
- 7.30PM-8.30PM (SYDNEY time)
- Via Zoom video link
ADULT ONLINE CLASS (INTERMEDIATE)
- Every Wednesdays
- Starts 21st of October, 2026
- 8.30PM-9.30PM (SYDNEY time)
- Via Zoom video link
Fees:

Children (Online) - $10 per term

Children (Face to face) - $20 per term

** $50 for 3 or more in the same household attending face to face

Adults (Online) - $100 per term

**25% discount for returning adult students

Payment Instructions:

Please make payment to the following bank account using the ‘Name’ as reference so that we can allocate the payment to the correct person.

Please send us an email once payment is made on sccala.inc@gmail.com.

Payments MUST be made prior your first class.

Please make payment to the below bank account please:

Name: SCCALA INC

BSB: 062-339 Account: 11004886

Reference Number: *Students Full Name and Class*

We look forward to meeting you at our first class.

Don't forget to follow us on Facebook and Instagram.

Ma lo'u fa'aloalo lava. Faafetai.

SCCALA Inc Executive Committee

Email: sccala.inc@gmail.com

Mobile: +61 425 292 950

Facebook: @sccala2021 & @sccala_inc

Instagram: @sccala_inc
Parent/Guardian Name (for Children's Class only)

First NameMiddle NameLast Name
Student Name #1

First NameLast Name
Birth Date #1

DayMonthYear
Gender #1
Name of School #1 (for Children's Class only)
What is your T-Shirt Size #1? (for Kids Face to Face Class only)
Student Name #2 (more than one child in same household)

First NameLast Name
Birth Date #2

DayMonthYear
Gender #2
Name of School #2 (for Children's Class only)
What is your T-Shirt Size #2? (for Kids Face to Face Class only)
Student Name #3 (more than one child in same household)

First NameLast Name
Birth Date #3

DayMonthYear
Gender #3
Name of School #3 (for Children's Class only)
What is your T-Shirt Size #3? (for Kids Face to Face Class only)
Student Name #4 (more than one child in same household)

First NameLast Name
Birth Date #4

DayMonthYear
Gender #4
Name of School #4 (for Children's Class only)
What is your T-Shirt Size #4? (for Kids Face to Face Class only)
Student Name #5 (more than one child in same household)

First NameLast Name
Birth Date #5

DayMonthYear
Gender #5
Name of Day School #5 (for Children's Class only)
What is your T-Shirt Size #5? (for Kids Face to Face Class only)
Address

Street Address

Street Address Line 2

SuburbState / Province

Postal / Zip Code
Student/Parent/Guardian E-mail
example@example.com
Contact Mobile Number
Format: (000) 000-0000.
Student/Parent Facebook Profile Link or Name
So we can easily verify and accept your request to join our Private Student Facebook Group
Select Course you or your child/ren are enrolling in:
How would you rate your level of knowledge and fluency in Gagana Samoa/Samoan Language
What Village/s are your family from?
How did you hear about the SCCALA Samoan Language School?
MEDIA CONSENT FORM

I hereby consent to the collection and use of my name, images, photos, or video recordings (materials) in connection to my participation as a student of the Samoan Community Culture Arts & Language Association Incorporated (SCCALA Inc) and all activities, programs and initiatives. I understand that these materials may be used by SCCALA Inc on its website and social media pages or in its newsletters, reports and other written electronic and multimedia publications. I also accept that SCCALA Inc, may use the materials in print, radio, outdoor advertising, television and digital advertising or for educational, promotional, news or reporting purposes. I acknowledge that the materials may be viewed by anyone who accesses SCCALA Inc social and other websites, newsletters, reports, publications, advertisements and other materials. I understand that I am not entitled to any remuneration, royalties, or any other payment in respect of the use of the materials.
By submitting this form, you agree to adhere to all terms and conditions specified in this form including media consent.
Should be Empty:

SCCALA Samoan Language School Registration Form - Term 4, 2026