Thank you for visiting us today! Parent Name * First Name Last Name Email * Phone (###) ### #### Child's Name and Date of Birth Child's Name and Date of Birth Child's Name and Date of Birth How many days would you like your child/ren to attend? 2 Days - Tuesday / Thursday 3 Days - Monday / Wednesday / Friday 4 Days - Monday - Thursday 5 Days - Monday - Friday If the class you require is full, would you be interest in being on the waiting list Yes No How did you hear about us? Friend Website Internet Sign Other What do you want to learnt about our school