Regular Registration Form
This form is to be completed for regular attendance in the Extended Day Program. This is required to be completed by 6:00 pm the day prior.
Email Address *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian collecting the student (if different)
Your answer
Parent/Guardian Phone Number *
Your answer
Student Name *
Your answer
Student Year *
Days the student will attend the program *
Required
Number of weeks you would like to enroll (minimum of 3 weeks required, for casual booking use the casual booking form).
Your answer
Date you would like to start
MM
/
DD
/
YYYY
Please list the subjects student would like tutor assistance with? *
Your answer
Does the student participate in Representative Sport or Training after school? *
Provide any additional medical information that the college may not already have with regard to specific medications for after school hours
Your answer
Additional Comments
Your answer
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