ENROLMENT

Term Enrolment - Individual and Peer

Please provide as much information as you can. Before submitting your enrolment, please ensure you have read over our Payment Terms and Conditions below.

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Enrolment Type

Individual Tutoring

Tutoring with Peer Learning

Child's First Name

Child's Last Name

Child's Date of Birth

Child's Age (Years and Months)

Parent/Guardian Full Name

Contact Number

Email Address

Address

Parent/Guardian 2 Full Name

Contact Number

Email Address

Address (if different from above)

Are you happy for me to contact your child's teacher?

Yes

Your child's teacher

Teacher's email address

Your child's school

Your child's grade

What are you child's current learning needs?

What are your child's strengths?

Has your child participated in any interventions? If so, please list below

Has your child been assessed for any learning difficulties? If so, please provide details

What are your preferred days and times?

How often would you like to have tutoring?

Emergency Contact 1 Full Name

Relationship to child

Contact Number

Emergency Contact 2 Full Name

Relationship to child

Contact Number

Please type your full name to acknowledge signature of agreement

Date you completed the form

Time you completed the form

I have read the below Payment Terms and Conditions

I have read the Payment Terms and Conditions below

PAYMENT TERMS AND CONDITIONS

Impact Tuition is a term enrolment placement. The term fees are due in full at the commencement of the term, or in instalments as agreed upon with Impact Tuition.

Impact Tuition clients must confirm their term program subscription prior to the commencement of each school term via the purchase of a relevant Impact Tuition subscription. For example, a typical term program is based on a 10-week school term.

Term based payment options will be offered for each Term Program subscription. Any additional charges throughout the term - such as assessments, additional sessions held to the relevant term program subscription.

If a Term Program Client has not purchased the relevant term program subscription by the end of week 3 of the term, then:

Impact Tuition will automatically process all outstanding term program subscriptions, with payment details as per the pervious terms; or
Impact Tuition reserves the right to allocate the applicable session day-time to another client