Hearts and Minds – Register your Interest for Term 3 2021 Program Student's Name* First Name Last Name Year Level*Select your Child's Year LevelYear 12Year 11Year 10Year 9Year 8Year 7Parent / Guardian's Name* First Name Last Name Email PhonePreferred Venue?*Select VenueApplecrossOnlinePerth Modern SchoolChurchlandsPreferred Day of Class (Select all that apply)* Saturday Sunday Preferred Time of Class (Select all that apply)* 9:00am - 11:00am 10:00am - 12:00pm 11:00am - 1:00pm 12:00pm - 2:00pm 1:00pm - 3:00pm 2:00pm - 4:00pm General comments:
Academic Group
Achieve Success at School
