Personal details of student

    Surname*
    Birthdate*
    Gender*
    Grade

    First Name*
    Age*
    School Attending

    Contact Details of Parent/Guardian

    Name and Surname*
    Phone number
    Choose the SEMAS course*
    Choose the KIDS course*

    Choose your SEMAS center*

    Email*
    Mobile*
    Residential Address

     

    Yes, I give permission for my child to have their picture taken and used for marketing purposes

     

    Yes, my child is allowed a lolly after class

    Please list any learning/medical/educational concerns your child might have or any difficulties our teachers should
    be aware of:

    General Details

    How did you hear about us?

     

    Internet

     

    News Paper

     

    Ref. by Friend

     

    Facebook

     

    Other

    Tuition fee structure (select one)
    - Refer to the Important Notice to view the options

    Declaration of Parent/Guardian