Enrolment Form **BOOK EACH CHILD SEPARATELY if using Creative Kids Voucher**

Student's Full Name as in Voucher

Student's Date of Birth (DD/MM/YYYY)

If you're claiming a Creative Kids Voucher, enter voucher number here

Parent/Guardian Full Name

School Year

School Name

Mother's Email Address

Mother's Mobile Number

Father's Email Address

Father's Mobile Number

Emergency Contact Name

Emergency Contact Mobile

Address

Select Centre Location Select Centre LocationRosehillGlenwoodQuakers Hill

Any significant medical conditions we should know about

How did you come to know about us? How did you come to know about us?FacebookGoogle / Search EnginesWord of MouthFlyer / LeafletOthers

I, give permission to Logical Coders to display the image of my child on the Logical Coders Website/Facebook/Newsletter and other Promotional Channels. I, give permission to Logical Coders to display the image of my child on the Logical Coders Website/Facebook/Newsletter and other Promotional Channels. Yes No

Terms and Conditions Terms and Conditions I have read, understood and agree to the terms and conditions of Logical Coders. Click here for terms and conditions.