AI Workshop - October School Holidays - Enrolment Form Question Title * 1. Parent / carer full name: Question Title * 2. Parent / carer phone number: Question Title * 3. List your child/ren's full name/s:You are able to list up to two children below. Question Title * 4. What school does your child/ren currently attend? Question Title * 5. Which workshop would you like your child/ren to attend?Years 3 and 4 – Wed 8th October (suitable for 8 – 11 years*)Years 5 and 6 – Thurs 9th October (suitable for 10 – 13 years*)*discussion about the most suitable classes can be arranged if required. Wednesday 8th October (Years 3 and 4) Thursday 9th October (Years 5 and 6) If more than one child attending, please specify below which workshop each child will be attending: Question Title * 6. Will your child bring a friend along? Yes No Friends full name: Question Title * 7. Do you wish for your child/ren to participate in the lunchtime excurision activity [either Flip Out or Strike (for either bowling, laser tag or mini golf)] at Charlestown Square. An extra $12 per child will be charged for activity participation. Yes No Question Title * 8. List any medical conditions and diagnoses we need to be aware of: Question Title * 9. Specify dietary or medical requirements, or do you have any further comments or questions? Next