STudent Registration Form

Complete this form and we will be in touch with you to follow up on your registration:

  1. Enter as much information as you can for each child you intend to register (one per child).

  2. The form must be completed by a Parent or Guardian unless the student is at least 18 years of age, and the

  3. Parent or Guardian must agree to the Terms and Conditions of Enrolment.

Campus
Tick all that apply
Parent/Guardian Details
Name of person completing this form:
Home Address
Student Details
Name
Gender
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 if there is a specific tutor that you or the students knows that they would like to be taught by.
Day and Time Preferences
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Additional Information
Do you agree with Five Tuition's 'Terms and Conditions' (See link below)?