Melbourne Australia
50 Station Street, Moorabbin, VIC
Phone (03) 9555 5355
Email: info@languagechamps.com.au
Box Hill, Moorabbin, City, Other Suburbs

Enrollment Form

* Fields must be filled in.

Personal Details

If Child (tick if applicable)

Mailing Address

Contact Details

Class Details

Guardian Details

Emergency Contact Details

Medical Conditions

Person Picking Up Details

If the person picking up your child is not one of their guardians, please fill in this section