Enrol

Address:
PO BOX 7119 WATSON ACT 2602 AUSTRALIA

Email:
info@learningadventures.com.au

Mobile:
+61 412 990 202


Enrol

PLEASE NOTE: Enrolments will only be accepted once you have been offered a confirmed place.

If you have an enquiry regarding a place for your child please fill out the enquiry form (click here).

Please fill out the enrolment form below and submit it only after you have been offered a confirmed place.

Enrolment Form

STUDENT DETAILS

Childs Name

Date of Birth

Sex

School or Childcare Centre

Class Teacher

Year

PREFERRED CLASS TIMES

 AM PM - Monday

 AM PM - Tuesday

 AM PM - Wednesday

 AM PM - Thursday

 AM PM - Friday

 AM PM - Saturday

INTERESTS

PREFERRED LEARNING STYLES

 VERBAL: enjoys reading & writing, playing with words, inventing stories

 LOGICAL: interested in discovering patterns and number relationships

 MUSICAL: heightened sensitivity to rhythm, sounds and tones

 SPATIAL: interested in matching patterns and how spaces relate to each other

 BODILY: enjoys using their body in creative ways such as sport or dance

 SELF-AWARE: knows own likes & dislikes; strengths & weaknesses

 NATURE-LOVER: enjoys outdoor play & learning about nature

HEALTH & RELATED ISSUES

Any allergies?

If yes, please describe

Any medical conditions?

If yes, please describe

Is your child taking any medications?

If yes, please describe

Is there anything else that it would assist teachers to know about your child?

PARENT/CARER DETAILS

Name/s

Relationship to Child

Address/es

Postcode

Email/s

Phone - day

Evening

Mobile

ALTERNATE EMERGENCY CONTACT/S

(Names, phone numbers & relationship)

PREFERRED CONTACT ARRANGEMENTS

 E-mail Phone Face-to-face

Other (please indicate)

Days & Times

INTEREST IN RELATED ACTIVITIES

Please indicate any activities of interest

Please tick any activities you may be able to volunteer to help with or attend

Other (please indicate)

PERMISSIONS

I consent to LA staff administering first aid or obtaining medical treatment if there is an accident or emergency.

I consent to photographs being taken of my child/ren to document learning.

I consent to photographs being taken of my child/ren for promotional use.

I understand that my child/ren cannot bring any items into the lessons without LA teacher permission.

HOW DID YOU HEAR ABOUT OUR PROGRAMS?


By sending this form electronically you are effectively signing with an electronic signature that identifies you and your approval of the enrolment information provided.


If you are having problems with the above form click here to download a pdf version.