Enrolment Application Student Details Full Name: DOB: School Year:---Pre SchoolKindergartenYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12Not at school Please select a lesson.---PrivateTuesday 3:30pm Years 3-5Tuesday 4:00pm K-Year 2Tuesday 4:30pm Years 3-5Tuesday 5:00pm Years 3-5Tuesday 5:30pm K-Year 2Wednesday 8:00am EHBHSWednesday 5:30pm - Years 3-5Wednesday 6:00pm - Years 3-5 Special Needs/Medical Requirements/Allergies (please list all that apply): Parent/Guardian Details Full name: Relationship to Student: Phone: Email: How would you prefer to be contacted?---EmailPhoneSMS Terms of Enrolment: If for any reason the teacher cancels the lesson a make up lesson will be organised within the term. If this is not possible, a credit will be given for the following term. At least 24 hours notice is required if a student is going to be absent from lessons. Where practical the teacher will try to run a make up lesson. If this is not practical, the lesson will be forfeited by the student. Term fees must be paid in full by the end of the second week of that term. If they are not paid then enrolment will be cancelled. All information in this document will be used for the reference of the teacher only. It will remain private and confidential. I understand the above information regarding my enrolment in small group lessons.