ENROLMENT - LONGFORD & FRASER

Student Details

All fields marked with an asterisk(*) are compulsory

Student Name^*

Date of Birth^*

Postal Address^*

Suburb^*

Postcode^*

Current School Attended^*

Current Year Level^*

Parent Details

All fields marked with an asterisk(*) are compulsory

Name of Parent/ Carer A

Name of Parent/ Carer B

Preferred Mobile Contact Number^*

Preferred Email^*

How did you hear about us?

Is your child ready to kiss and go?

Are you ready to kiss and go?

Program Selection

Would you please indicate your top two preferences for the LONGFORD & FRASER program in which you would like to enroll.
Due to demand we cannot guarantee you will be successful in your first choice

Please visit OUR PROGRAMS for more information on our programs.

1st choice

2nd choice

Emergency Contact Details

All fields marked with an asterisk(*) are compulsory

Name of person(s) who is / are permitted to collect your son^*

Name of Next of Kin in case of Emergency^*

Contact Number(s) in case of Emergency

Student Health and Allergies

Please indicate any food allergies or describe any restrictions due to religion

Please indicate any medication that your child will be carrying with her to class: eg: Ventolin, Epipen etc

Please indicate any medical conditions that may be of relevance to class activity (eg: hearing impairment, asthma, etc )

Positive Attitude about Attendence

I have discussed this enrolment with my child and they are committed and willing to attend.

Accept Terms
I accept the Terms and Conditions.

As stated
As stated in the Terms and Conditions, I acknowledge that LONGFORD & FRASER reserves the right to excuse your child from class if their behaviour (incl. punctuality and attendance) is not up to the standards espoused by our organisation.

I understand the strict
I understand the strict cancellation policy outlined below.

14 days minimum notice is required for cancellation/postponement of your weekly program place.

28 days minimum notice is required for cancellation/postponement of your holiday program place.

Less notice will incur financial consequences (as stated in the Terms and Conditions.

Melbourne,

January 21, 2025 6:32 pm

Enrolment Form

School Holiday Program Melbourne | Boys and Resilience | Academy for Boys