Study Space Registration Form
Study Space Program

Fusion Community Centre
5 Jersey Street Hornsby

Tuesdays 3.30 - 5.30pm during school term.

Email address *
Student Name *
Your answer
Parent Mobile Number
(used only if we need to close for some reason)
Your answer
Student Mobile Number
(If they have one)
Your answer
School *
Your answer
School Year *
Required
Main areas needing assistance (if any)
Parent Name *
Your answer
Email *
Your answer
Mobile Number *
Your answer
Will your child be picked up or making their own way home? *
Required
Do you consent for your child's likeness to be used by Fusion for the purposes of promoting our programs & activities? *
Required
Thank you!
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