Enrolment - Art On Canvas For Kids

After School Program Enrolment Form – Term 4 – 2024

We are now accepting enrolments for Term 4, 2024

How many students are you enroling?

Student Details

Select School

Sorry, we are booked out for this term at this school location and closed for registration. To receive new term enrolment communication, please click here.

Select Day

Select Program

Student’s full name:

Students Current Class

Date of Birth

Student’s topic of interests?

How will your child be collected after class?

Does your child have any medical conditions that may be affected by attending or participating in this activity? (If yes, please provide details.)

Student 2 Details

Select School

Sorry, we are booked out for this term at this school location and closed for registration. To receive new term enrolment communication, please click here.

Select Day

Select Program

Student’s full name:

Students Current Class

Date of Birth

Student’s topic of interests?

How will your child be collected after class?

Does your child have any medical conditions that may be affected by attending or participating in this activity? (If yes, please provide details.)

Student 3 Details

Select School

Sorry, we are booked out for this term at this school location and closed for registration. To receive new term enrolment communication, please click here.

Select Day

Select Program

Student’s full name:

Students Current Class

Date of Birth

Student’s topic of interests?

How will your child be collected after class?

Does your child have any medical conditions that may be affected by attending or participating in this activity? (If yes, please provide details.)

Parent / Guardian Details

Parent / Guardian Full Name

Parent / Guardian First Name

Parent / Guardian Last Name

Email Address

Contact Number:

Address

Street Address

City / Suburb

State

Postcode

Emergency Contact

Emergency Contact Full Name

Email Address

Contact Number:

Photos & Media:

Photographs and videos are often taken to showcase student’s activities in our program at times

Please tick the option that is relevant to you

I PERMIT my child to appear in Art on Canvas for Kids program related photos, videos and media materials.

I DO NOT permit my child to appear in Art on Canvas for Kids program photos, videos and media materials.

Disclaimers:

Please tick the following checkboxes to acknowledge terms.

By ticking this, I acknowledge that I have read and understand the content of Art on Canvas for Kids / STEM Champion Terms and Conditions”

By ticking this, I acknowledge that I have read and understand the content of Art on Canvas for Kids / STEM Champion Privacy Policy”

How Did you Hear About Us? :

Referral Options

Google

Facebook

Instagram

Friends & Family

Banner

Flyer

Program Payment

Coupon Code

Apply Coupon

NSW Creative Kids Voucher

Tick this box if have NSW Creative Kids Voucher/s.

How many NSW Creative Kids vouchers do you have?

1 x NSW Creative Kids Voucher

2 x NSW Creative Kids Vouchers

3 x NSW Creative Kids Vouchers

Voucher Number 1 / Birth Date

Voucher Number 2 / Birth Date

Voucher Number 3 / Birth Date

No payment items have been selected yet

Late enrolments: For late enrolments after the program has started, please select “bank deposit” and email: enrolment@artoncanvasforkids.com.au to confirm the amount.

Choose Payment Method

Bank Deposit

Credit Card

Pay with Credit Card (Stripe)

Admin Only – Pricing Elements / General Data – Hidden fields

Day & Time – Admin Only

Student 1 – Day / Time

Admin Only – General Day (hidden)

Student 2 – Day / Time

Admin Only – General Day (hidden)

Student 3 – Day / Time

Admin Only – General Day (hidden)

Term Starting-Ending Dates- Admin Only

Student 1 – Start / End

Admin Only – Start / End Dates (hidden)

Student 2 – Start / End

Admin Only – Start / End Dates (hidden)

Student 3 – Start / End

Admin Only – Start / End Dates (hidden)