PRE KINDY ENROLMENT FORM

PRE KINDY ENROLMENT FORM
STUDENT DETAILS
Name

FIRST NAMESURNAME
Gender

MALEFEMALE
DATE OF BIRTH

MonthDayYear
Date
YEAR STARTING KINDY
PREFERRED SCHOOL
PREFERRED DAYS (Min 2 days)

MON 9am-1pmTUES 9am-1pmWED 9am-1pmTHURS 9am-1pmFRI 9am-1pmSAT 9am-1pmMON 1:30pm-5pmTUES 1:30pm-5pmTHURS 1:30pm-5pmBooster MonBooster TuesBooster Thurs
LANGUAGE SPOKEN AT HOME
ANY ALLERGIES/ILLNESSES THAT MAY AFFECT LEARNING?
PARENT/GUARDIAN 1 DETAILS
EMAIL ADDRESS
example@example.com
OCCUPATION
HOME PHONE
MOBILE
ADDRESS
PARENT/GUARDIAN 2 DETAILS
EMAIL ADDRESS
example@example.com
OCCUPATION
HOME PHONE
MOBILE
ADDRESS
AUTHORITY TO COLLECT AND/OR EMERGENCY CONTACTS:
Please ensure these emergency contacts are willing and able to collect your child/children in the event of an emergency.
FULL NAME
AUTHORISED PERSON 1 FULL NAME
RELATION TO CHILD
CONTACT NUMBER
AUTHORISED PERSON 2 FULL NAME
RELATION TO CHILD
CONTACT NUMBER
By submitting this enrolment, I authorise staff of Froggy Tuition Centre to give the above person(s) access to my child/children. The above mentioned people are also authorised to collect my child/children from the centre in my absence.
Do you give us permission to take photos/videos of your child as per the above terms*

YesNo
Do you give us permission for your child to attend external activities?*

YesNo
ACKNOWLEDGEMENT
By signing below I declare the information I have supplied is correct and I agree to the terms & conditions.
Signature

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PARENT/ GUARDIAN NAME
DATE

MonthDayYear
Date
Registration fee + $50 deposit (Credited to term fees)*

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PRE KINDY ENROLMENT FORM

STUDENT DETAILS

AUTHORITY TO COLLECT AND/OR EMERGENCY CONTACTS:

FULL NAME

ACKNOWLEDGEMENT