Parent Information
Parent Name:*  
Caregiver/Nanny:
(if attending class)
 
Mobile Phone:*
Home/Alt. Phone:
Email:*
Address:*
City/Suburb:*
State:*
Postcode:*
Emergency Contact:
Emergency Phone:
Child Information
Child's Name:*  
Child's Details:*
Gender   Age   Date of Birth  
     
Does your child have any allergies or medical conditions?
If yes, please provide details.
Class Information
Class Location:*
Course/Curriculum:*
First Preference:*
Select location and course first
Second Preference:*
Payment Method:*
For a non-standard amount, select 'Other Amount'
How did you hear about us?
Preferred method of contact for updates?
Questions/ Comments:
I have read and agree to the policies and conditions of Tritones:*
May take a few seconds.
Please be patient.