Enrolment Form

Please complete the following form for each child you intend to enrol (one per child). The form must be completed by a Parent or Guardian unless the student is at least 18 years of age, and the Parent or Guardian must agree to the Terms and Conditions of Enrolment.

Parent/Guardian Details
The campus where you wish to enrol the child or children
Your Name *
Your Name
Your Home Address *
Your Home Address
Student Details
Name *
Name
Gender *
The school where the student is currently attending
Please indicate if the student has any health issues, allergies, or anything we might need to be aware of.
If the student suffers from any of the above conditions, what would you like us to do? E.g. Call a specific person. (Note that we are not trained to deal with medical situations. If the situation is an emergency we will always call 000 and try to contact you immediately).
Please indicate the main subjects the student would like help with during their session. For most students up to year 10, Maths and/or English are usually selected.
Please note that some days and times may be unavailable at some campuses.
Please indicate if there is a specific tutor that you or the students knows that they would like to be taught by.
Don’t worry if you’re unsure - we’ll find out when we see them!
How did you hear about Five Tuition?
Do you agree with Five Tuition's 'Terms and Conditions' (See link below)? *