Expression of interest: NEW Active Kids extracurricular activity

After school Active Kids Program at Yeronga State School

Yeronga State School P&C Association is partnering with Rise Sports to offer a new Active Kids Program as an extracurricular activity for children of Yeronga State School. This healthy and active program for children of all ages will start during term 1 (early March) and will be held from 3:15 to 5:15pm, Monday to Thursday, in the grounds and oval around the grade 1 building.

Please complete this form to express your interest in enrolling your child/ren in this activity and we will be in touch with more information when the start date is confirmed.

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* 1. Contact details

Parent/carer's full name (first name and surname)

Best contact number

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* 2. How many children would you like to enrol in the Active Sports Program?

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* 3. Please list the name/s and YSS class/es of the child/ren you would like to enrol (eg Joe Bloggs, 2R)

Child 1 name and YSS class

Child 2 name and YSS class

Child 3 name and YSS class

Child 4 name and YSS class

Child 5 name and YSS class

Child 6 name and YSS class

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* 4. On what day/s would you like to enrol your child/ren in the Active Kids Program?

Monday 3:15-5:15pm

Tuesday 3:15-5:15pm

Wednesday 3:15-5:15pm

Thursday 3:15-5:15pm

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* 5. Other information we need to know about your child, such as food intolerance or allergy, medical conditions, special needs etc.

Food intolerance or allergy (a light afternoon tea will be provided for children at the beginning of each session)

Medical conditions

Special needs

Thank you!

Please click 'Done' below to submit your expression of interest.

A representative of Rise Sports or the P&C will be in touch when the start date is confirmed to provide further information and assistance to enrol your child/ren.