Community Course Registration
Please fill your details below to enrol in your chosen course.
Student (Child's) Name
*
First Name
Last Name
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Mobile Number
*
Please enter a valid phone number.
Parent/Guardian E-mail
*
example@example.com
Child's Gender
*
Please Select
Female
Male
Non-binary
Prefer not to say
Please select your gender
Suburb of Residence
*
Street Address
Street Address Line 2
Suburb
State
Postal / Zip Code
Child's Year of Birth
*
Please type your year of birth
Country of Birth
Second Emergency Contact Name
Second Emergency Contact Mobile
*
Please enter a valid phone number.
Does your child have any allergies, medical conditions, or additional requirements you would like to disclose?
Allergy
Medical Condition
Additional requirement/information
Please tell us any relevant information below (e.g. what is the allergy, etc.)
Choose your course and process payment below
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( X )
Tie Dye and Clay Creations
September School Holiday Workshop
$
60.00
AUD
Children's Art & Craft
with Isy
$
190.00
AUD
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
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