UPLOAD A BOOKLIST

FREE GLUE - $120 VOUCHER FOR ALL FAMILIES - FREE GLUE $5 Picking and Packing Fee

BOOKLIST UPLOAD AND DETAILS

NAME OF CHILD 1 *

YEAR LEVEL

Gender

CHILD 1 BOOKLIST UPLOAD - Attach school list here *

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PAGE 2 - if required

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NAME OF CHILD 2

YEAR LEVEL CHILD 2

Gender:

CHILD 2 BOOK LIST UPLOAD - Attach school list here

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NAME OF CHILD 3

YEAR LEVEL CHILD 3

Gender;

CHILD 3 BOOK LIST UPLOAD - Attach school list here

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CONTACT DETAILS

PARENT NAME *

MOBILE ( Number to receive order alerts on ) *

EMAIL *

PREFERRED PICK UP LOCATION: *

Port Kennedy FREE Pick up Subiaco - FREE Pick upDelivery $8.95 - Use address above

ADDRESS ( use if delivery is selected )

EXTRA DETAILS

Learning Pod Group can assist in providing customized education plans and a range of school holiday activities, would you like to be kept up to date or contacted regarding:

One to One / Group tutoring:Educational Assessment: Science or Toddler birthday parties:School holiday activities, after school activities, home classes:Education for children with Autism, Dyslexia, ADHD or other:NDIS Capacity building Classes, Plan Management, Products or other:Parenting information sessions and workshops

Additional information

HOW WOULD YOU DESCRIBE YOUR CHILD'S LEARNING STYLE?

Easily Distracted Mostly Focused Highly Focused Unsure

COMMENTS/ DIAGNOSIS/ CONDITION ( eg. Sensory, Behaviour,, Possible / Diagnosed / Suspected Conditions - Dyslexia, ADHD Autism, OTHER )

NOTE: Should you require any information in the mean time, please reach out to us.

PAYMENT DETAILS

PAYMENT OPTION *

CALL ME TO CONFIRM DETAILS AND PROCESS OVER THE PHONE - BEFORE ORDER IS STARTEDPROCESS WITH CARD DETAILS BELOW

Card Details: Name, number, Exp, CVC required

HOW DID YOU HEAR ABOUT US?

CONFIRMATION

I acknowledge by sumitting my list a Learning Pod Group team member will be incontact with an update of my order, I will be provided with quality products some of which some maybe substitute brands to the list provided and FREE GLUE along with a $120 Voucher to spend on a range of Learning Pod Groups popular items and services.

*

By signing this form, I acknowledge the Terms and Conditions of Learning Pod Group and agree all the information is true, correct and understood. *

I allow Learning Pod Group to contact me to process my order further and a $5 Picking and Packing fee applies per list *

Comments:

Signature of parent / guardian

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