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Phone
0421 573 890

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Children Details*

Child’s First Name

Child’s Last Name

Date of Birth

Class*

Preferred Day*

Start Date*

DD slash MM slash YYYY

Welcome to Sprout & Soar

Parent/Carer’s Details

Parent / Carer’s First Name*

Parent/Carer’s Last Name*

Email*

Mobile*

Person to call in case of emergency:*

Relationship of person to child*

Mobile*

Does your child have any medical conditions? Medication and action plan to be provided to teacher.*

Does your child have any food allergies? Please pack epipen and action plan. Lunches without nuts is essential.*

Has your child ever been diagnosed with a learning disability or delay? Explain - What is your child's special strengths (humour, friendly, reading, sports etc)?*

What limitations would you like your child to overcome? (Mood, temper, motivation etc)?*

Is your child toilet trained? Please provide a change of clothes if they have an accident.*

Yes

Is there anything else you would like me to know about your child?*

How did you hear about us?*

Consent*

I allow you to take photos or videos of (insert child's name) and use this footage for advertising purposes. By providing your consent, you agree to us posting the footage to our website or social media. You acknowledge and accept that once the footage is posted on the internet, we cannot control comments about or use of the footage by others, and we cannot retrieve all copies of the footage if it is shared or downloaded. You agree that copyright in the footage belongs to us, and we may edit the footage or use parts of it to create derivative works.

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Welcome to Sprout & Soar

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