Booking Request - New Students

Name *

First Name

Last Name

Preferred method of communication (please select)

Email

Text Message

Phone Call

Emergency Contact *

First Name

Last Name

Keep up to date

I wish to receive seasonal emails and updates from The Centre of Bright Beginnings as well as a free welcome resource

Do you identify as BIPOC, LGBQTI+ or any other identification where you have experienced disadvantage?

Please check this box if you would like us to offer you a subsidised rate and we will be in touch.

Electronic Signature of Student, Parent or Gaurdian *

By checking this box, I hereby electronically sign that I have read, understood and agree to The Centre of Bright Beginnings Informed Consent Policy.

Name *

First Name

Last Name