BOOK HERE!

Please complete The Children’s Imagination Academy E-Form
and make a secure payment to book any of the current classes or workshops
Any Q’s? Make contact!

CHILD 1: First Name *

Surname *

Age *

Date of Birth *

Child's Interests *

Behavioural Support Requirements / Medical Conditions / Additional Info About Child? *

Current School attending? *

CHILD 2: First Name

Surname

Age

Date of Birth

Child's Interests

Behavioural Support Requirements / Medical Conditions / Additional Info About Child?

Current School attending?

Parent/Caregiver First Name *

Surname *

Email *

Mobile Number *

Postcode *

BRIGHT STARS PROGRAMME FEE / PER CHILD: OPTIONS -WEEKLY $65 x 8 sessions, 2 x TERM $260 OR WHOLE TERM $495. FEES ARE NON-REFUNDABLE AND MUST BE PAID IN FULL PRIOR TO CHILD ATTENDING THE PROGRAMME. Payment for full term required unless medical certificate provided. *$65 per Child for a Day (8 x payments)$260 per Child for Half Term (2 x payments)$495 per Child for Whole Term (best value!)Please choose a payment option. NB: There are 8 sessions per term.

FEE PAYMENT

The Children's Imagination Academy / Account number: 15-3976-0154830-10Please tick when payment complete

How did you find out about the Children's Imagination Academy? *Please select an optionWord of MouthGoogleFlyerCiA WebsiteFacebookInstagramOther

Parent / Caregiver Agreement (please tick) *

I understand my child will attend on 8 x Mondays of the school term and fees are non-refundable.I give permission for images of my child participating in activities to be shared on our channels and emails.My Child/ren can go on regular visits to the Community Gardens and all nature/outdoors excursions.My Child/ren can participate fully in all activities and workshops offered at the CiA BRIGHT STARS Programme.I understand my Childs' place is secured by agreed fee payment and final application approval by the CiA Management Team.

Additional Notes

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