* Required
First and Surname
*
Your answer
Parent(s) Name
*
Your answer
School
*
Your answer
DOB
*
MM
/
DD
/
YYYY
Email
*
Your answer
Home Phone
*
Your answer
Cell Phone
*
must be different from home number
Your answer
Emergency Contacts
*
Name(s) and Phone Number(s)
Your answer
Home Address
*
Your answer
Authority to Collect
Name(s) and Phone Number(s)
Your answer
How did you hear about us?
*
Please type the full name of the person who referred you in "other" to get the Promotion Discount. T&Cs apply.
Friend/Family
Google Search
Event Finda
Social Media
Newspaper
Flyer
Other:
Required
Does your child have any particular health needs that we should be aware of?
Medical conditions, allergies, dietary requirements, learning differences etc.
Your answer
Registering for a TERM PROGRAM...
Monday After-School Sunnyhills School Years 4-6
Tuesday After-school Sunnyhils School Years 2-3
Wednesday Years 3-4 Shelly Park Primary
Wednesday After-school Years 5-6 Shelly Park Primary
Thursday After-school Ages 10+ Botany
Friday After-school Years 2-3 Shelly Park Primary
Other:
Registering for a HOLIDAY PROGRAM...
Top Secret Science Mon-Tue April 19th-20th
Robothon Wed-Thu April 21st-22nd
Storm the Castle Tue-Wed April 27th-28th
Theme Park Engineers Thu-Fri April 29th-30th
Before and After Holiday Program Care ($7 per session)...
Apr 19
Apr 20
Apr 21
Apr 22
Apr 27
Apr 28
Apr 29
Apr 30
Drop at 8am
Pick-up at 4pm
Apr 19
Apr 20
Apr 21
Apr 22
Apr 27
Apr 28
Apr 29
Apr 30
Drop at 8am
Pick-up at 4pm
I grant Young Engineers Workshop program operators permission to use photographs and film of my child or my child’s work, alone or included with others, for educational and promotional purposes in any media format.
*
Choose
Yes
No
I have read, understand and agree with the Terms and Conditions:
https://goo.gl/Zl4QLc
*
Yes, I agree
Required
Submit
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms