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Enrolment details

Parent Information

Student Information

Gender
Birthday
Day
Month
Year
School Grade

Emergency Information

Relationship to Student

Child Protection and Welfare

Authorised pick up person - 1 (other than parent listed previously)

Relationship to Student

Authorised pick up person - 2 (other than parent listed previously)

Relationship to Student

Do Not Release to:

Relationship to Student

Consent and Permissions

Emergency Medical Consent

I authorise Lukad AV Academy staff and volunteers to seek emergency medical care for my child if required.
Yes
No

Photo and video consent

I give permission for photos or videos of my child to be taken and used for marketing or promotional purposes.
Yes
No

Code of Conduct Acknowledgement

View and download the codes of conduct here

I have read and agree to the Parent Code of Conduct:
Yes
No
I, and my child, have read and agree to the Student Code of Conduct:
Yes
No

Additional Program Related Information

Has the student participated in similar programs before?
Yes
No
Main areas of interest
How did you hear about us?

Agreement

Payment

Fee Options
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