* Existing Customer or New enrolment

* Child's Name

* Child's Age

* Child's Date of Birth

* Location

* School attending

* Classroom or Hub

* Parent's/Caregiver's name

* Email address and Home address

* Re-enter email address

* 2nd Parent/Caregiver's name

* Email address and Home address

* 1st Emergency Contact (Name, cell no.)

* 2nd Emergency Contact (Name, cell no.)

Name and contact details for others authorised to collect your child

* Medical Centre Name and Address

* Doctor's name and phone number

Any health issues/ allergies/medications/dietary requirements

Diagnosis of any of the conditions stated

* Weekly Attendance Options

Before School

After School

Before & After school

* Start date for care

Morning requirements

Afternoon requirements

Additional Information

* I give permission for local excursions to the park, library, etc understanding that ASK will notify me on the day via the ASK Whiteboard and a text message.

* I give permission for my child to travel in an ASK vehicle.

* I give permission for photos to be taken of my child to be used on the ASK website or facebook page or for advertising purposes. I understand that my child's name will not be printed with these photos unless further permission is granted from me.

* I give permission for ASK staff to arrange any necessary urgent medical treatment at my cost.

* I agree to provide a copy of my ID (Driver's Licence) to ASK and pay a $50 bond per child to start my account. After School Kids Ltd, 06-0729-0962677-00. Put BOND and child's name as references. Fees are invoiced weekly & I agree to pay them promptly.

* I agree to give two weeks notice of any changes to my child’s enrolment. Otherwise I agree to pay for all sessions booked for my child whether they attend or not.

* If the fees remain outstanding after reasonable negotiations are not adhered to, then details will be passed on to an external debt collection agency. Any costs incurred due to the debt collection will be passed on to the parents/caregivers.

* All care will be taken to provide supervision of children attending the ASK programmes. This is in accordance with ASK policies. I acknowledge by agreeing to this, that ASK won't be liable for any loss or damage by way of accident, injury or theft.

* If applicable, Custody Arrangements and/or Court documents are required to be given to ASK

Yes

No

* denotes required field

Before and After School Enrolment

Child's Information:

Enrolment Requirements