TIGHTROPE LEARNING CHILD REGISTRATION 
Email *
CHILD'S FULL NAME  *
(IF ENROLLING SIBLINGS) CHILD 2's FULL NAME 
(IF ENROLLING SIBLINGS) CHILD 3's FULL NAME
CHILD'S DATE OF BIRTH *
MM
/
DD
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YYYY
(IF ENROLLING SIBLINGS) CHILD 2's DATE OF BIRTH
MM
/
DD
/
YYYY
(IF ENROLLING SIBLINGS) CHILD 3's DATE OF BIRTH
MM
/
DD
/
YYYY
CHILD'S ADDRESS *
PLEASE LIST ANY MEDICAL CONDITIONS AND/OR ALLERGIES YOUR CHILD MAY HAVE (IF ENROLLING SIBLINGS PLEASE WRITE THEIR NAME FOLLOWED BY THEIR INDIVIDUAL CONDITIONS/ALLERGIES) *
IS YOUR CHILD NDIS FUNDED? *
IF YOUR CHILD IS NDIS FUNDED PLEASE PROVIDE THEIR NDIS NUMBER (IF ENROLLING SIBLINGS PLEASE WRITE THEIR NAME FOLLOWED BY THEIR INDIVIDUAL NDIS NUMBER) *
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