ADS FREE TRYOUT WORKSHOPS
Registration Form for ADS Free Workshop Program - Dec 2018 & Jan 2019

Please read consent options at the end of this form before proceeding to register.

Both workshops take place at ADS HQ, 40-42 Beetham Parade, ROSANNA.

Sorry, no early drop offs or late pick ups available.

On confirmation of enrolment you will a voucher to attend workshop/s free.

Parent/Guardian Details
First and Last Name/s *
Your answer
Address *
Your answer
Email address *
Your answer
Second Email address
Your answer
Home phone
Your answer
Mobile Phone
Your answer
Emergency contact *
Please provide the name and phone number of the best person to call in case of emergency during workshops
Your answer
Student Details
First and last name of Child/Teenager *
Your answer
Child/Teenager age *
Your answer
Grade of child/teenager
Your answer
Gender
Persons to collect child
Please give the name/s of any adult/s who are permitted to collect your child from the program
Your answer
Does your child have any medical conditions, allergies and/or history we should know about? *
Please write YES or NO. If yes, please give details
Your answer
Does your child require special consideration in any areas, for example, religious or cultural requirements, disability or protection order? *
Please write YES or NO. If yes, please give details
Your answer
Choose Your Workshop/s
I wish to register my child for the following Try Out Workshop/s: *
Please tick the workshop/s you wish to register for
Required
Terms and Conditions
Students attending free workshops will not be entitled to any further free lessons in 2019. Please tick box to show you have read and understood this condition. *
On confirmation of enrolment you will be given a voucher to attend workshop/s free. Entry into the class will be permitted on presentation of this voucher to the teacher.
Required
It is a condition of enrolment that permission is given for photographs and video to be taken of students for educational purposes. Will you allow these photos and/or videos to be published in advertising material, e.g. website, newsletters, posters? *
Consent *
Required
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