Booking Form

Child's Name

Please submit a separate form for each child that you wish to enrol in the workshop.

First Name

Last Name

Primary School

Please enter your child's current Primary School.

Child's Year Level

Workshops

Please select the workshop that matches your child's current year level.

Junior Workshop - Year 1-3 (10am-11:30am)

Senior Workshop - Year 4-6 (12:30am-2pm)

Emergency Contact

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 copies of your child's management plan for specific medical conditions.

Learning, Behaviour or Wellbeing Concerns

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

Current Maths Abilities

Please describe your child's current maths abilities and mindset towards mathematics e.g. "My child enjoys maths and is working above level. They would benefit from being extended".

What are your child's hobbies and interests?

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

Yes