Parent/Guardian Account Setup

Mandatory field(s) marked with *

Personal Information

Title:*

First Name:*

Last Name:*

Mobile Phone:*

This field will be used for SMS notifications

Home Phone:

Business Hours Phone:

Relationship:

Email:*

This will be your user name

Confirm Email:*

Password: *

Confirm Password: *

Allow Notifications to be sent

The rules for creating a new password are:

Must be between 6 and 21 characters
Must contain at least 1 numeric character
Must contain at least 1 lower case character
Must contain at least 1 upper case character
Must contain at least 1 special character. Examples of special characters are ! @ $ & *
The special characters that are NOT permitted are # %

Street Address:*

Suburb:*

Postcode:*

State:*

Country:*

Postal Address As above

Street Address:

Suburb:

Postcode:

State:

Country:

Please provide two additional contacts in case of emergency.

Allow Notifications to be sent

Name:*

Email:

Phone:*

Relationship:

Allow Notifications to be sent

Name:*

Email:

Phone:*

Relationship: