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After School Club Enrolment

Select a Young Engineers After School Club:

Child's Full Name
Child's age: Sex:
Child's School

Parent / Carer / Authorised Pick-Up No. 1

Email

Mobile Number

Parent / Carer / Authorised Pick-Up No. 2

Email

Mobile Number

Address

Suburb

Postcode

Does your child suffer from any known health issues? NoYes
(If yes, Please specify)

I agree that photographs and videos of my child taken at e2 YOUNG ENGINEERS GREATER METRO PERTH, or my child’s creations and artworks, may be used by e2 YOUNG ENGINEERS GREATER METRO PERTH for promotional purposes in its publications; on its website and intranet; on social media; in media activities; and for educational displays and in presentations at professional development courses and conferences.
Please note: under no circumstances will the name of your child be associated in any way with their image!

I understand that I will have to pay, once I receive the invoice to secure my child's place prior to start of the term.
I understand that my child’s enrolment depends on my acceptance of the Terms and Condontions. I have read those Terms and Condontions, I understand them, and I accept them.