Enrolment Form

The following information is required by organisations receiving Government funding and for the planning of future educational and recreational programs. The information is treated as confidential, and is used and stored in accordance with our Privacy and Confidentiality Policy. A copy of this policy is available at the front counter or on request. Thank you for your assistance.

Course Name:
Session time:
Enrolment date:
Class Participant Details
First name:
Last name
For Children, Responsible Adult Details
First name:
Last name:
Contact Details
Home:
Mobile:
Email:
Payment
Payment will be made by  EFT Cheque Cash
Have you enrolled here before:  Yes No
Have your details changed:  Yes No
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