After School Registration Form

Registration Form

Arawang after-school program: Tuesdays 3.00 - 4.30pm
Location: Arawang Primary School, Music Room

Nemarang Crescent, Waramanga ACT

Please note this program is currently only available to Arawang Primary school students.
Student Name

First Name Last Name
Age
Student Name

First Name Last Name
Age
Student Name

First Name Last Name
Age
Parent/Guardian name

First Name Last Name

Address

Phone number
Email
Emergency contact 1

First Name Last Name
Phone number
Email
example@example.com
Emergency contact 2

First Name Last Name
Phone number
Email
example@example.com
Are there any medical conditions of which we should be aware?
e.g. allergies
During term, would you like to receive a weekly email with a quick overview of the week's lesson?
Would you like to receive emails with information about future Bright Sparks programs, e.g. the holiday program?
Do you give permission for photographs of the student to be used in our advertising and weekly email?
Preferred payment method
My Products

Term payment per child $ 198.00 AUD

Quantity

Total $ 0.00 AUD

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The payment is ready! It will be completed once you submit the form.
Anything else you would like to tell us, or any questions? We're happy to reply by email, or call Amy on 0438325589.
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