Quantum Kids Live Class Enrolment Form

Quantum Kids Live Class Enrolment Form
Thank you for your interest in seeking enrolment in Quantum Kids Education!
- This application to enrol form is to be completed in English.
- If you need an explanation of any of the questions or help in completing this application, please ask for assistance from the school staff.
- You are welcome to provide further information on an attached sheet.
- An explanation of the purpose and use of the information you provide is given on page 9.
- The school will notify you of the results of your application. The information you have provided will be used by the school for student enrolment if your application is accepted.
Enroling for more than one child?
- Please complete a separate enrolment form for each child using their own unique email address.
Student's Information
Student's Full Name

First NameLast Name
Sex
Student's Birthdate

DayMonthYear
Date
Stage
Year
Intended Start Date

MonthDayYear
Date
Main Language Spoken at Home
Country of Birth
Previous School
Name of School
State
Country
Family Information
Parent/Guardian 1
Parent 1's/Guardian 1's Full Name

First NameLast Name
Name of School Last Attended
Parent 1's/Guardian 1's Relationship
(eg mother /father/carer)
Parent 1's/Guardian 1's Phone Number
Parent 1's/Guardian 1's Email
example@example.com
Parent 1's/Guardian 1's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian 2
Parent 2's/Guardian 2's Full Name

First NameLast Name
Parent 2's/Guardian 2's Relationship
(eg mother /father/carer)
Parent 2's/Guardian 2's Phone Number
Parent 2's/Guardian 2's Email
example@example.com
Parent 2's/Guardian 2's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contacts
Emergency Contact
Pricing Plan
Quantum Live Class Pricing Plans for each Stage
prevnext( X )
Stage 1 - Year 1 & 2 (Ages 5 to 6) - Enrolment Fee of 110 AUD + Initial Fortnightly Payment of 163 AUD
$273 AUD



Stage 2 - Year 3 & 4 (Ages 7 to 9) - Enrolment Fee of 110 AUD + Initial Fortnightly Payment of 163 AUD
$273 AUD



Stage 3 - Year 5 & 6 (Ages 10 to 12) - Enrolment Fee of 110 AUD + Initial Fortnightly Payment of 163 AUD
$273 AUD



Stage 4 - Year 7 & 8 (Ages 13 to 14) - Enrolment Fee of 110 AUD + Initial Fortnightly Payment of 163 AUD
$273 AUD



Stage 5 - Year 9 & 10 (Ages 15 to 16) - Enrolment Fee of 110 AUD + Initial Fortnightly Payment of 163 AUD
$273 AUD



Total

$0.00 AUD
Free Elective Subjects

If you enrol in the full curriculum, electives are included.
- Bible Study (All Stages )
- Filipino (Tagalog) (All Stages)
- Global Communication Skills (All Stages)
- Global Religious and Cultural Studies (All Stages)
Parent/Guardian's Signature
Payment Methods

Fastlane Checkout

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

Contact Info

Payment Info
Should be Empty:

Quantum Kids Live Class Enrolment Form

Student's Information

Previous School

Family Information

Parent/Guardian 1

Parent/Guardian 2

Emergency Contacts

Pricing Plan

Quantum Live Class Pricing Plans for each Stage*

Payment Methods

Quantum Live Class Pricing Plans for each Stage