Enrolment Form | Ivanhoe Girls' Aquatics

Student Details

Student's Name

Student's date of birth

Kindergarten/school attending

Parent/Guardian Details

Parent/Guardian name

Mobile number

Alternative contact name

Alternative contact mobile number

Alternative contact's relationship to child

Address

Suburb

Postcode

Email address

How did you hear about us?

Health Details

Other (please specify):

What special care is recommended (if any of the above are ticked)?

Please indicate if your child has a developmental disability To ensure that we can provide appropriate assistance to your child, please indicate if your child has a developmental disability and any additional information which will assist us to best support their learning.

Account details

Name of person account should be directed to

Address account should be directed to

Consent

Consent to Medical Attention I hereby authorise the staff of Ivanhoe Girls' Aquatics (where it is impracticable to communicate with me) to provide medical or first aid treatment as may be deemed necessary. Under the provisions of the Privacy Act, the above information will remain confidential to the Ivanhoe Girls' Aquatics Swimming Manager and appointed swimming teacher.

Yes

Enrol Enrolment Form

Student Details

Parent/Guardian Details

Health Details

Account details

Consent