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2025 Term1 - Enrolment & Agreement

Bloom - Enrolment Process

 

To enrol your child in our “one day program” please follow these steps:

 

  1. Fill out this enrolment and agreement form.

  2. Read out and agree to our Terms and Conditions.

  3. Wait for our confirmation by email.

  4. Proceed with term payment.

 

Next one day program available will take place in 2025 during Term 1, from Wednesday 5th February to 12nd April. No session will take place the last week of term 1 on Wednesday 9th of April. 

 

Cost per session for 1 child: $75 (full term 1 commitment of 9 sessions $675)

 

Payments are to be made by bank transfer:

Account name: Bloom

Account number: 03-0259-0363580-001

Reference: indicate your child's surname and T1 - ie. SmithT1

 

Full payment should be made prior to the start of the first session.

If you need a payment plan, please get in touch with us: infobloomout@gmail.com. 

 

If enrolling more than one child, please complete the Enrolment Agreement Form again separately for each extra child.

Enrolment Form

Child details

Alergies:

If yes, please give a full list of allergies and a treatment or emergency response.*

Medical conditions and other comments:

If yes, please give further details and response plan.*

A category (i) medicine is a non-prescription preparation that is not ingested, used for the ‘first aid’ treatment of minor injuries and provided by the service and kept in the first aid cabinet.

Which of the followig are you happy with: Required
Please tell us if your child has any behavioral or learning characteristics we need to be aware of.

If yes, please give further details*

Anything else we should be aware of?

If yes, please give further details*

Category (ii) medicines are prescription (such as antibiotics, eye/ear drops etc.) or non-prescription (such as paracetamol liquid, cough syrup etc.) medicine that is used for a specific period of time to treat a specific condition or symptom, provided by a parent for the use of that child only.

Parents or Guardian Details

I am the:

Photo release permission

Do you give permission to take photos of your children when on session and for these photos to be used in promotional material on our social media, emails or website? *

Photo consent

Last bits!

By clicking "I agree" you agree to enrol your child in our one day programme at Churchill Park for one full Term on Wednesdays from 9:00am-3:00pm *

By clicking "I agree" you agree to the terms and conditions as stated on the website *

Thank you for your submission

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