Schools Out Club - Registration Form

Please fill in all sections. It's important that we have as much information as possible. Fields marked * are mandatory.

You must also read a copy of our contract in order for us to enrol your child. You can download a copy here:

Download Contract

Once we have received the registration form, we will email you back with confirmation and an invoice.

Child's Details

Full name of child:
*

Date of Birth:
*

Gender:     

Address:

Contact Information

Mum / Guardian:

Relationship to Child:
*
Name:
*
Work Number:

Mobile Number:
*
Alternative Number:

Dad / Alternative Carer:

Relationship to Child:
*
Name:
*
Work Number:

Mobile Number:
*
Alternative Number:

Emergency Third Contact (optional)

Name:

Relationship to Child:

Telephone Number:

Mobile Number:

Alternative Number: