ENROL

Complete form to enrol your Child/ren to attend
THE CHILDREN’S IMAGINATION ACADEMY (CiA) ONE DAY SCHOOL
We will be in touch to confirm placement or offer wait list option. Thanks!

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 *

ENROLMENT FEE - OPTIONS PER CHILD: WEEKLY $65, 2 x TERM $260 OR WHOLE TERM $490. PAYMENT SECURES PLACE. FEES ARE NON-REFUNDABLE AND MUST BE PAID IN FULL PRIOR TO CHILD ATTENDING THE PROGRAMME. Please note, the CiA does not receive government support therefore is 100% funded by local families and community. We are grateful for your support. *I choose the WEEKLY $65 p/session x 8 weeksI choose the 2 x TERM installments $260 I choose the WHOLE TERM $490 (best value)

How did you find out about the Children's Imagination Academy? *

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 Programme.I understand my Childs' place is secured by agreed fee payment and final application approval by the CiA Team.

Additional Notes

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