Apollo Parkways Primary School Incursion

Please fill out the booking form below to book your child into the ‘Limitless Minds’ Incursion, taking place at Apollo Parkways P.S. on Wednesday the 16th of October.

*Please Note: This Incursion will be run by both Nikki and Taryn - both educators are qualified Teachers (VIT).

Child's Name

First Name

Last Name

Child's Year Level

Parent/Carer's Name

First Name

Last Name

Phone Number

Child's Medical Information

Please enter any relevant medical information for you child. This information will be kept confidential. Please Note: We may request that the school provide us with a copy of your child's management plan (dependent on their medical condition). This will be returned to the school at the conclusion of the incursion.

Learning, Behaviour or Wellbeing Concerns

Please describe any learning, behavioural or wellbeing concerns, along with any triggers or other relevant information.

You have discussed the incursion with your child and they are happy and willing to participate:

Yes

You give your consent for your child to participate in the incursion:

Yes

Are you interested in receiving information about our external tutoring/extension programs (located in South Morang) and holiday workshops?

Yes