ENROLMENT FORMNecessary information to ensure safety, communication, and proper management of student. STUDENT'S DETAILS - REQUIRED Student's Name (or Preferred Name) * Student's Date of Birth MM DD YYYY Student's Academic Year (2025) * 1 2 3 4 5 6 K Student's Address (if applicable: door, floor, unit, etc.) street, suburb, state and postcode * Student's ANIMALOZ Class Day/Location * 🐎Kensington Public School - Wednesdays STUDENT'S HEALTH - REQUIRED Any relevant health issues - allergies (food, medications, materials, etc.), asthma, diabetes, etc.? * N/A YES Any anxieties, ASD, ADHD, etc... Or any thing you think is helpful for me to know? * N/A YES Let me know any other special needs or requirements (if applicable) # 1 PARENT / GUARDIAN'S DETAILS - REQUIRED # 1 Parent / Guardian Full Name * # 1 Parent / Guardian Relationship to Child * Mother Father Grandmother Grandfather Aunt / Uncle Sibling Legal Guardian Stepmother Stepfather Foster Parent Other # 1 Parent / Guardian Phone * (###) ### #### # 1 Parent / Guardian Email * # 2 PARENT / GUARDIAN'S DETAILS - OPTIONAL # 2 Parent / Guardian Full Name # 2 Parent / Guardian Relationship to Child Mother Father Grandmother Grandfather Aunt / Uncle Sibling Legal Guardian Stepmother Stepfather Foster Parent Other # 2 Parent / Guardian Phone (###) ### #### # 2 Parent / Guardian Email ANOTHER EMERGENCY CONTACT - (OPTIONAL, IF YOU HAVE 2 CONTACTS ABOVE) Emergency Contact's Name Emergency Contact Relationship to Student Mother Father Grandmother Grandfather Aunt / Uncle Sibling Legal Guardian Stepmother Stepfather Foster Parent Nanny / Caregiver Family Friend Family Member (Other) Neighbord Other Emergency Contact's Phone (###) ### #### Any other instructions (optional) COLLECT THE CHILD - REQUIRED Who will collect the child? (Select one or more) * # 1 Parent / Guardian # 2 Parent / Guardian After-Care in same school Other SIBILINGS ENROLLED - OPTIONAL Does your child have any siblings who are also enrolled in ANIMALOZ? YES N/A Sibling Names and School Years (if applicable) Do you want to add another sibiling (#2 STUDENT) to this enrolment form? YES N/A Do you want to add another sibiling (#3 STUDENT) to this enrolment form? YES NO AGREEMENT SECTION - REQUIRED I give permission for my child to participate in the ANIMALOZ program, understanding the creative activities and safety measures in place. * YES I understand enrolment is only complete once all required documentation, including emergency contact and medical info, is submitted. * YES I understand that if no discount is applied for the trial, its cost will be deducted from the term price, and payment is required by the second session. * YES In a medical emergency, I give permission for staff to take necessary actions, including contacting emergency services. * YES I have reviewed the Code of Conduct with my child and understand that repeated violations may result in dismissal. * YES I have read, understood, and agreed to the Privacy Policies and Terms and Conditions, and I will abide by them throughout the term. * YES I allow photos/videos of my child to be used for promotional purposes. (voluntary) * YES NO SAFETY OR LEGAL INFORMATION (OPTIONAL) Any important information we should know, such as custody, safety, or legal orders? If yes, please provide details and/or upload relevant documents. Thanks for filling out the enrollment form! 🤩 Our team will review it and get back to you soon if anything else is needed.
