Learner Information Full Name Age Date of Birth Gender MaleFemale Location / Residence Current School Class / Grade Home Address Parent/Guardian Name Parent/Guardian Phone Parent/Guardian Email Program Applying For Sports Programs FootballBasketballSwimmingNetballGymnastics Skilling Programs Bakery & PastryTailoringMusic & DanceCrochetingBag MakingPotteryCandle MakingBottle RecyclingPaper Bag MakingMechanicsFood ProcessingFruit DryingHerbs & Urban Farming STEM STEM Activities Learner Level BeginnerIntermediateProfessional Program Schedule Preference Day ProgramEvening ProgramWeekend Program Boarding Option Day ScholarBoarding Transport Needs Do you need transport? YesNo If yes, enter location/stage Medical Information Does the learner have any medical conditions or allergies? YesNo If yes, specify medical concerns Emergency Contact Emergency Contact Name Relationship to Learner Emergency Contact Phone Parent/Guardian Consent I confirm the information is accurate and give permission for my child to participate in TSAS programs. Additional Notes
