ENGAGE Event: Summer of 2022
Student First Name
Student Last Name
Date of Birth
Gender
Male
Female
School Grade for 2022-23
-- None --
Nursery 1 (0-12mths)
Nursery 2 (13mths-2yrs)
Preschool 2
Preschool 3
Preschool 4
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Graduated
Student Mobile Number
Student email address
Student Dietary Restrictions
Dairy Free
Gluten Free
Parent/Guardian First and Last Name:
Parent/Guardian Email Address
Parent/Guardian Phone Number
I understand that the $100 deposit for Engage is non-refundable and deposit must be made in order to secure the students registration. If deposit is made after any deadline incentives, the student will NOT receive those incentives.
Yes, I understand
Submit