Parent Details
N.B. The system will only recognise the parent detailed here.
So, if Mum completes this form it means Dad will have to use her details to make purchases in the future.
Parent First Name *
Parent Last Name *
Email Address *
Home Phone Number *
Cell Phone Number *
Home Address *
Postcode *
Username *
Please choose a password
Passwords must be minimum of 6 characters
Password *
Confirm Password *
Child/children's details
Child 1 Name *
Child 1 Date of Birth
Child 2 Name
Child 2 Date of Birth
Child 3 Name
Child 3 Date of Birth
Child 4 Name
Child 4 Date of Birth
Name of Emergency Contact
Emergency Contact's Phone Number
Other person authorised to collect your child
Authorised Person's Phone Number
Allergies and necessary health information *
Details of any special needs
Custodial arrangements (if any)
Name and contact details of Family Doctor
Consent for your child to be photographed *
I give my consent
I do not give my consent
I have read and accept Sole Movement's Payment, Refund and Uniform Policies
*
How did you hear about us? *
-- Please select --
Child attended before
Friend
Hibiscus Matters
Facebook
Leaflet
Google Search
Tots to Teens
School Newsletter
Word of Mouth
Children's Party
Other
Enter Word Verification in box below *