Parent's First Names *

Email Address *

Last Name *

Mobile Number *

Home Address

Home Address Line 2

Home City

Home Postcode

Home State

Emergency Contact Name *

Emergency Contact Number (other than listed above) *

First Name *

School Grade

School

Dundas Public School Class (if applicable)

Last name *

Gender *

Date of Birth *

Permission for Child to Walk to Multi Purpose Room *

Allergies

Tip: Please provide details and any medication your child carries with them

Any special needs (Diet, Allergies, Disability, Behavioural, other)?

Photo Permission *

Tip: I give permission for photos and video footage to be taken of my child

Social Media Permission *

Tip: Do you give permission for photos or videos of your child to be posted on the offical Spark instagram or facebook pages?

Permission to participate in games outside

Do you have any person/persons not permitted to contact or collect your child/children while in our care?

Tip: Please provide further details

Anything helpful we need to know?

Tip: For example, toileting issues, speech issues, fears your child may have, or something you would like your child to work on this year.