Learner Licence Class Starts Tuesday 26th October 2021 6-8pm

**If you're under 18: Your Parent/Guardian/Caregiver must fill out this form**

Ethnicity (Tick all that applies)

This section is for Parents/Legal Guardians/Caregivers:

Permission to attend and to be photographed: Please tick where applicable
Does your child have any medical issues/treatments we need to know about?

Permission for staff/Tutors to administer first aid care, please tick where applicable:
I give permission for the Tutor/RRC Staff to make arrangements as deemed necessary for the treatment for my child in an emergency and agree to meet any costs incurred

Cost: $20.00 to cover the 4 weeks. Must be paid before you start class. Please pay via internet banking. Banking Details:  Account Name: Rowley Resource Centre Account Number: 03-1703-0031377-00 Reference: Learners

">Learner Licence Registration Form