2024 JADA Enrolment Form

Student Name
Address JADA Location
Date of Birth Grade / Year Level School

Guardian Information

Guardian Contact #1 M:
Guardian Contact #2 M:
Primary email contact

Other

Please specify any necessary medical conditions below

Medical Statement

In case of an emergency, where it is impactical to contact either myself or the person(s) listed above, I hereby authorize the teacher or person in charge to arrange for, at my expense, such medical, ambulance, hospital or other attention as may be deemed necessary by the person in charge of the student named above

Signed Date

I give consent for my child's photo to be taken and to be potentially used for advertising purposes