Registration RegistrationToday's Date*make a booking0Parent / Guardian Name*1Address*2Home Number*3Work Number*full name4Mobile Number*full name5Email Address*full name6Where did you hear about us?*full name7Child Details8How many children would you like to register?9How many children do you have*select number of children123410Child 1 Name*full name11Child's Gender12Gender*select just oneMaleFemale13Date of Birth*full name14What school or preschool does your child attend?*full name15Has your child had lessons previously?16Has your child had lessons previously?*YesNo17If so, where?*full name18Why did you leave?*full name19Child 2 name*Child 2 name20Child's Gender21Gender*select just oneMaleFemale22Date of Birth*full name23What school or preschool does your child attend?*full name24Has your child had lessons previously?25Hobbies*select one or moreYesNo26If so, where?*full name27Why did you leave?*full name28Child 3 Name*full name29Child's Gender30Gender*select one or moreMaleFemale31Date of Birth*full name32What school or preschool does your child attend?*full name33Has your child had lessons previously?34Hobbies*select one or moreYesNo35If so, where?*full name36Why did you leave?*full name37Child 4 Name*full name38Child's Gender39Hobbies*select one or moreMaleFemale40Date of Birth*full name41What school or preschool does your child attend?*full name42Has your child had lessons previously?43Hobbies*select one or moreYesNo44If so, where?*full name45Why did you leave?*full name46Medical / Emergency Contact47Are there any learning difficulties or medical conditions we should know about?48If yes please explain*something more49Doctor's Name*full name50Doctor's Phone Number*full name51Emergency Contact Person*full name52Relationship to Student*full name53Emergency Contact Numbers*full name54Privacy Agreement55I have read the Privacy Agreement56Hobbies*select one or moreYesNo57Submit58Email*a valid email address59