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ARCADIA AGILE LEARNING CENTER

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Primary Parent

* Indicates required field

Primary Parent - Name *

First

Last

Primary Parent - Email *

Primary Parent - Phone Number *

Primary Parent - Address *

Line 1

Line 2

City

State

Zip Code

Country

Secondary Parent

Secondary Parent - Name *

First

Last

Secondary Parent - Email *

Secondary Parent - Phone Number *

Secondary Parent - Address *

Line 1

Line 2

City

State

Zip Code

Country

Leave blank if the same as above.

Child 1

Child 1 - Name *

First

Last

[object Object]

Child 1 - Date of Birth (dd/mm/yyyy) *

Child 2

Child 2 - Name *

First

Last

[object Object]

Child 2 - Date of Birth (dd/mm/yyyy) *

Child 3

Child 3 - Name *

First

Last

[object Object]

Child 3 - Date of Birth (dd/mm/yyyy) *

Relevant Health Information *

Relevant Family Information *

Relevant Cultural Information *

ARCADIA ALC - ENROLMENT OPTIONS

ENROLMENT PACKAGE *

2 Days per Week 1 Day per Week Casual (Intermittent Visits)

If you desire a more personalised option for your children please describe it as best you can below and we will be in touch with you.

Alternative Enrolment Request *

If you desire a more personalised option for your children please describe it as best you can and we will follow up with you.

AGILE LEARNING CENTRE - Preferred Days *

Monday Tuesday

Payment option *

Upfront per quarter Direct Debit Personalised Option (We can discuss with you)

Arcadia Community

We love it when parents are involved. Perhaps you have some skills or free time to offer our children?

Interested in volunteering? *

Volunteering Commitment Level *

Aid in children's daily activities Teaching lesson (music, yoga, languages, etc.) Organising (social events, excursions, etc.) Behind the scenes (website, marketing, etc.) Something else? Not sure

Volunteering Commitment Frequency *

Do you have skills we could use? *

Handy with tools/building Gardening Multi-lingual Craft (sewing, knitting, cardmaking, etc.) Art (Visual arts, media, photography, architecture, graphic design) Performing Arts Traditional Skills (weaving, spinning, fabric/wool dying, canning/preserving, sweet making, bread making, traditional woodworking, archery, swordsmanship, shelter making, bushcraft, pioneering etc) Sport or Martial Art Tech Skills Skilled in a particular Key Learning Area (maths, geography, history, english, science etc) Yoga / Pilates / Meditation Outdoor skills (sailing, canoeing, hiking, climbing, scouting etc) Other

Please describe any other skills *

Some Helpful Feedback

Where did you hear about Arcadia? *

What aspects of our offerings most appealed to you? *

Do you have any specific goals we can help your children with? *

Could you recommend any resources that could benefit other parents? (facebook groups, ipad applications, subscription services, education programs, websites, anything really) *

Would you like support with developing and submitting a Home Education plans to the HEU? *

Yes Maybe No

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Primary Parent

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Child 1

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ARCADIA ALC - ENROLMENT OPTIONS

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