Inspired Minds Solutions l Enrolment Form

First name

Last name

Email

Phone

Address (Street number, Street name, Suburb, State, Country, Postcode)

Payment Options

Weekly Invoice (Direct Deposit)

Term Up Front

Number of children enrolling

1

If more than 1, please continue to complete the entire form. If you are enrolling more than 2, please contact IMS admin.

CHILD ONE name

Birthday

Month

Day

Year

Does your child attend mainstream education or home school?

Mainstream

Homeschool

Current year level

Please give details of their current ENGLISH needs

Please give details of their current MATHS needs

Please give details of their current SOCIAL/EMOTIONAL needs

Please give details of their current hobbies and interests

Please give more details here of anything that you feel is relevant to CHILD 1's needs and goals.

CHILD TWO name and date of birth

Does your child attend mainstream education or home school?

Mainstream

Homeschool

Current year level

Please give details of their current ENGLISH needs

Please give details of their current MATHS needs

Please give details of their current SOCIAL/EMOTIONAL needs

Please give details of their current hobbies and interests

Please give more details here of anything that you feel is relevant to CHILD 2's needs and goals.

By checking the boxes below, you:

Have read and agree to the terms and conditions of enrolment (available on the website)

Give permission for your child's images being used for social media and/or advertising.

Have read and agree to the payment and cancellation policy within the terms and conditions.

IMS TUTORING