Name (Required)

Email Address (Required)

Child/Children's full name/s (please include all children being enrolled here) (Required)

Date(s) of Birth (Required)

Does your child/children have any known allergies, asthma or other health issues? (Required)

Do you grant permission for us to email you about kids or youth events and activities? (Required)

Are there any persons not permitted to contact or collect your child/children? (Required)

Please provide Emergency Contact details (name and mobile number) of an alternate contact person other than yourself in case of emergency. (Required)

Please provide medicare number (Required)