Application Form

Option One

Option Two

Option Three

Option Four

Option Five

Student Name

School Name

School Year

Study Package Option

Parent / Guardian Name

Parent / Guardian Contact No

Parent / Guardian Email

Family Doctor

Doctor Contact No

Medical help if required

I give consent for my child to be taken to seek medical help if required and for medical assistance to be administered if deemed necessary by a qualified person.

Please inform us of any special needs or medical conditions that we should be aware of.

Agreement

We, the parents/guardians and student have read, discussed and agree with the study guidelines as outlined

Photographs and video footage may be taken for promotional reasons. All information will be kept on file for future reference.