Chatswood Enrolment Registration Form Chatswood Centre Registration Form Child's Name* First Last Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920School Name*School Year of Child*Pre Kindergarten ( 2 years before Year 1 )Kindergarten ( 1 years before Year 1 )Year 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8If your child have any allergies or medical conditions, please specify below:Primary Contact Details* First Last Relationship to child*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Preferred method of contact*PhoneEmailSecondary Contact Details* First Last Relationship to childPhoneAre you a current BrainBuilder student?*YesNoPreferred Term/s* Term 1 Term 2 Term 3 Term 4 Preferred Day/s* Monday (3:30-6:30 pm) Tuesday (3:30-6:30 pm) Wednesday (3:30-6:30 pm) Saturday (9:00 am - 5:00 pm) Class Enrolment*Power MathsHigh School ProgramFCL English ProgramKindergarten Maths Program (Ages 3-5)How did you hear about us?*Word of MouthGoogle SearchSocial MediaOther BrainBuilder StudentsFlyer, BrochureJust passing byCaptcha