Enrolment Form

To enrol your child in one of our classes in 2021 please complete and submit the enrolment form below. The form is separated into three areas: Student Details, Parent/Guardian Details, Class Details. Areas that must be completed are indicated with an asterisk.

2021 ENROLMENT FORM

* Indicates required field

STUDENT DETAILS

Choose One *

New Student Returning Student

Students Name *

First

Last

Student Date of Birth *

School and School Year (2021) *

PARENT/GUARDIAN DETAILS

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Mobile Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Alternate Contact Number *

Alternate Email Address *

In a scenario where you are unable to collect your child who are the adults that are pre-approved?

Pre-approved for Pick-up *

CLASS DETAILS

Please select your preferred class for 2021 from the list provided. For class descriptions click here.

2021 XtrAct Class List - Select One Option *

Monday Troupers: 4 - 5pm Monday Barnstormers: 5 - 6.30pm Monday Perfect the Prep: 6.30 - 8pm Tuesday Players: 3.45 - 5pm Tuesday Boardtreaders: 5 - 6.30pm

To better prepare to teach our XtrActors it is important to supply information pertaining to any learning challenges that your child faces, in what kinds of learning environments they tend to thrive, topics that are of particular interest to them or a trigger for challenging behaviour. The more we know the better, and everything remains confidential.

Is there any information we should know about how your child learns or special needs? *

Submit