Pal Wisdom Application Form

Parent/Guardian Information

Parent's First Name

Parent's Last Name

Parent's Email address

Parent's Phone number

Residential Address

Student Information

Student Full Name

Preferred Name (if any)

Date of Birth

Month

Day

Year

Year Level (School)

Current School:

Tutoring Details

How did you hear about Pal Wisdom Tutoring?

What areas does your child need support in?

Any diagnosed learning needs or conditions we should be aware of?

Fees and Payment

I understand that tutoring fees are charged per term or per session (as applicable).
I agree to make payments by the due date provided in the invoice.

Preferred Payment Method

Bank Transfer

Cash

Other

Policies and Consent

I understand that missed sessions without prior notice may not be refunded.

I understand that behaviour expectations apply during all tutoring sessions.This is a checkbox.

I consent to my child participating in tutoring activities.

I consent to reasonable academic communication regarding my child’s progress.

Media Consent

Do you give permission for your child's photos/videos (non-identifying) to be used for educational or promotional purposes.

Yes, I give you permission

Signature

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