The Gifted and Talented Childrens Association

S O U T H A U S T R A L I A

Saturday Club Non Member Details

Parent/Guardian Details

Child Details
Ms Miss

Title:

Dr

Mr

Mrs

Male First Name: Surname: D.O.B: Age: School: Referred by:

Female

First Name: Surname: Address: Suburb: Postcode: Email: Mobile Ph: Home Ph: Work Ph: Fax:
Can Parents Watch Classes?

* Please note: each child attending Saturday Club will need a separate contact form each. This will also need to be accompanied by a Medical Form.

With children 5 and under, parents are welcome to remain in the workshop and assist them in participating and interacting in the session. In all other workshops (apart from your childs very first workshop), we ask that parents do not remain in the teaching area, as this can be distracting for the children. Exceptions include children with special needs, or a parent wishing to be teacher helper. Contact us for more details.

GTCASA Contact Details Mail or scan and send this form to: The Gifted and Talented Childrens Association of South Australia PO Box 1111 UNLEY SA 5061 E: giftedsa@gtcasa.asn.au P: 1300 950 594 www.gtcasa.asn.au Saturday Club is held at: Glenunga International High School, 99 LEstrange Street, Glenunga

Membership Fees If you choose to become a member, the current fees are: 1 Year 2 Years Family $80 $150
(Children attend Saturday Club)

Concession Psychologist/Teacher/ Country

(Children do not attend Saturday Club)
ABN 214 538 398 52

$40 $40

$75 $75

Office Use Only Date Received: