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Enrollment Form
Enrollment Form
Enrollment Form
Request Type
*
New Enrollment
Re Enrollment
Make Up Class
First Name
*
Last Name
*
Gender
*
Male
Female
Date Of Birth
*
Parent/Carer's Name
*
Just your first name is required
Phone
*
full 10 digit is required. 10 digit Mobile or area code + 8 digit Landline.
Address
*
eg/ 142 Blaxland Rd
Suburb
*
Post Code
*
Email
*
Enter Email
Confirm Email
Centre
*
Ryde
Rydalmere
Term
*
1st
2nd
3rd
4th
Class Day
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Selected Class
Do not change this
Class
*
Tadpoles - 6 wks to 4 mths
Platypus - 4 mths to nonmobile
Wombats - crawling babies
Penguins - Walking to 18 mths
Koalas - 18 mths to 2 yrs
Wallabies - 2 to 2 1/2 yrs
Kangaroos - 2 1/2 to 3 yrs
Possums - 3 to 4 yrs
Intro Emus - 4+ yrs
Emus - 4 1/2 to 5 1/2 yrs
Where did you hear about us?
*
Google Search
Gymbaroo Website
Facebook / Social Media
Baby Expo
Word of Mouth / Friends
Sibling Already Attends
Advertising Sign
Health Clinic
Other
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