Quantum Kids Digital Registration Form

Quantum Kids Digital Registration Form
Parent's/Guardian's Full Name*

First NameLast Name
Student's Full Name*

First NameLast Name
Email Address for your access
example@example.com
Quantum Digital Pricing Plans for each Stage
prevnext( X )
Stage 1 (Years 1 and 2) Subscription + GSTSign up to get access to all videos , quizzes and worksheets from Stage 1 for 1 user
$26.00AUD



Stage 2 (Years 3 and 4) Subscription + GST Sign up to get access to all videos , quizzes and worksheets from Stage 2 for 1 user
$26.00AUD



Stage 3 (Years 5 and 6) Subscription + GSTSign up to get access to all videos , quizzes and worksheets from Stage 3 for 1 user
$26.00AUD



Stage 4 (Years 7 and 8) Subscription + GSTSign up to get access to all videos , quizzes and worksheets from Stage 4 for 1 user
$26.00AUD



Stage 5 (Years 9 and 10) Subscription + GSTSign up to get access to all videos , quizzes and worksheets from Stage 5 for 1 user
$27.00AUD



Additional User (Annually)
$10.00AUD How many users?Subscription



Subtotal

$0.00AUD

Tax

$0.00AUD

Total

$0.00AUD
Additional User #1 Email (if applicable)
user@example.com
Additional User #2 Email
user@example.com
Additional User #3 Email
user@example.com
Additional User #4 Email
user@example.com
Additional User #5 Email
user@example.com
Additional User #6 Email
user@example.com
Additional User #7 Email
user@example.com
Additional User #8 Email
user@example.com
Additional User #9 Email
user@example.com
Additional User #10 Email
user@example.com
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty: