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Enrolment Form

We acknowledge and respect your privacy. The enrolment information that is collected assists
us to provide the best level of service for you and your child. By completing this form, you have
consented to this information being collected. The information will only be used by kids life up
staff

Please complete and submit this form to confirm your child's enrolment in term 1 2021 and
secure your spot in one of our workshops.

If you are enrolling more than one child, please complete a separate form for each child.
The workshops fees is $225 for the term (includes 9 workshops)
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*Required Sections/Fields

Parent 01 Details*

Residential Address*

Emergency Contact 01*

Child Details*

Parent 02 Details

Residential Address

Emergency Contact 02

Photography & Video Permissions*

I give permission for photos and video footage to be taken of my child to be used (please tick all that apply) *

Enrolment Agreements*

Please tick the box to confirm that you have read each point*

Additional Information/Comments

Please provide information regarding any physical health, behavioural, social or emotional concerns that we need to be aware of:

Your content has been submitted

please fill out all required fields.

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