Community Education Enrolment Form Personal DetailsChild NameAddressContact Ph (Home)Contact Ph (Mob)Child's DOBParent/Caregiver NameEmailCourse Details1. ClassTerm (Select One) Term 1 Term 2 Term 3 Term 4 Day & TimeCost2. ClassTerm (Select One) Term 1 Term 2 Term 3 Term 4 Day & TimeCostPaymentCredit Card Visa Mastercard Credit Card NumberName On CardExpiryI give permission for my child to attend the above classes. In the event of illness or injury I give permission for medical attention to be sought knowing I will be contacted as soon as possible. Confirm Date Date Format: MM slash DD slash YYYY