Enrolment Form Class Selection * Shona Ndebele Both Name of First Student * First Name Last Name Age of First Student * 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Over 25 Preferred Lesson Times (Select all that apply) * All times are in AEDT/AEST (NSW Time) Mon, Tue, Wed 6-7PM Mon, Tue, Wed 7-8PM Mon, Tue, Wed 8-9PM Wed, Thu, Fri 6-7PM Wed, Thu, Fri 7-8PM Wed, Thu, Fri 8-9PM Mon, Tue, Wed 5-6PM Wed, Thu, Fri 5-6PM Name of Second Student First Name Last Name Age of Second Student 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 and Over Preferred Lesson Times (Select all that apply) All times are in AEDT/AEST (NSW Time) Mon, Tue, Wed 6-7PM Mon, Tue, Wed 7-8PM Mon, Tue, Wed 8-9PM Wed, Thu, Fri 6-7PM Wed, Thu, Fri 7-8PM Wed, Thu, Fri 8-9PM Mon, Tue, Wed 5-6PM Wed, Thu, Fri 5-6PM Name of Third Student First Name Last Name Age of Third Student 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 and Over Preferred Lesson Times (Select all that apply) All times are in AEDT/AEST (NSW Time) Mon, Tue, Wed 6-7PM Mon, Tue, Wed 7-8PM Mon, Tue, Wed 8-9PM Wed, Thu, Fri 6-7PM Wed, Thu, Fri 7-8PM Wed, Thu, Fri 8-9PM Name of Fourth Student First Name Last Name Age of Fourth Student 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 and Over Preferred Lesson Times (Select all that apply) All times are in AEDT/AEST (NSW Time) Mon, Tue, Wed 6-7PM Mon, Tue, Wed 7-8PM Mon, Tue, Wed 8-9PM Wed, Thu, Fri 6-7PM Wed, Thu, Fri 7-8PM Wed, Thu, Fri 8-9PM Name of Parent/Guardian or Name of Adult Student * Name of parent/guardian is required for student under the age of 18 years. First Name Last Name Email Address * Mobile Number * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Alternative Contact details Used in case of emergency and other urgent matters First Name Last Name Email Phone (###) ### #### Thank you!
