Page 1 of 1

Ground Up Sports - Registration Form (Term 4) Week 1 - Week 10

SECTION 1: PARENT / GUARDIAN DETAILS

Parent / Guardian Full Name

Email Address

Mobile Phone Number

Emergency Contact Name & Number

SECTION 2: STUDENT INFORMATION

How many children are you enrolling today?

1 Child

2 Children (Sibling Discount Applied Automatically)

3 Children (Sibling Discount Applied)

4 Children (Sibling Discount Applied)

Sibling Discount Structure:
We offer scaling discounts for families registering multiple children! Discounts are applied per session:
• Child 1: Full price
• Child 2 (1st Sibling): $5 off per session
• Child 3 (2nd Sibling): $10 off per session
• Child 4 (3rd Sibling): $15 off per session

CHILD 1 DETAILS

Child 1 Full Name

Child 1 Grade / DOB

Child 1 Medical / Allergies

Child 1 Enrollment Type

Tuesday Only (10 sessions): $230

Monday Only (9 sessions): $207

Both Monday & Tuesday: $342

Half Term - Tuesday (5 sessions): $115

Half Term - Monday (4 sessions): $92

Half Term: Both Mon & Tue (Weeks 1–5): $162

Half Term: Both Mon & Tue (Weeks 6–10): $180

Casual / Single Session: $30

SECTION 3: PICKUP & AFTER-SCHOOL CARE

Are any of the children part of the Bert Oldfield after-school care (INSPIRE)?

Yes

Please state who will be picking up your children (Name, Phone Number). Please list all authorised pick-up people.

SECTION 4: WAIVERS & CONSENT

Terms, Conditions & Medical Authorization

I give permission for my child/children to participate in Ground Up Sports sessions. I confirm all medical details supplied above are accurate and grant authority for emergency first aid treatment if required.

Photography & Media Consent

I AGREE — Ground Up Sports may use photos/videos for promotional/social media use.

I DISAGREE — Ground Up Sports may NOT use photos/videos for promotional/social media use.