Enrolment Form | ANIMALOZ

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$40 OFF FOR THE AFTER-SCHOOL PROGRAM

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ANIMALOZ

Enrolment Form

Student Information

*Name (or Preferred Name)

The student is a minor (under 18), and a parent/guardian is completing this form.

*Date of Birth

*Phone

*Email

*Student's Address

*Enrolling for ANIMALOZ Program:

Student Health Information

*Any relevant health issues - allergies (food, medications, materials, etc.), asthma, diabetes, etc.?

N/A

YES

*Any anxieties, ASD, ADHD, etc... Or any thing you think is helpful for me to know?

N/A

YES

Let me know any other special needs or requirements (if applicable)

Upload any file that could be important (if applicable)

We acknowledge the Traditional Custodians of NSW, and their continued connection to land, water and culture. We pay our respects to Elders past and present.

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