Basecamp Education
Start your climb.
Student
Enrolment
1
Student Details
Tell us about the student enrolling
First Name
*
Please enter the student's first name.
Last Name
*
Please enter the student's last name.
Date of Birth
*
Please enter the student's date of birth.
Year Level
*
Select year level
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Please select a year level.
School
*
Please enter the student's school.
Subject(s) Seeking Tutoring In
*
Please list at least one subject.
Preferred Day(s)
(optional)
Preferred Format
*
Select format
In-person
Online
No preference
Please select a preferred format.
Learning Needs
(optional)
Academic Context
(optional)
How Did You Hear About Us?
(optional)
Select one
Word of mouth
Google search
Social media
School recommendation
Returning family
Other
2
Primary Parent / Guardian
Main contact for all communications
First Name
*
Please enter a first name.
Last Name
*
Please enter a last name.
Relationship to Student
*
Select relationship
Mother
Father
Guardian
Carer
Other
Please select a relationship.
Mobile
*
Please enter a phone number.
Email Address
*
Please enter a valid email address.
Preferred Contact Method
*
Select method
Email
Phone call
SMS
Please select a contact method.
Billing Contact?
*
Select
Yes — send invoices to me
No — use second guardian
Please select a billing option.
3
Second Parent / Guardian
Optional — add if relevant
Add a second parent or guardian
First Name
Last Name
Relationship to Student
Select relationship
Mother
Father
Guardian
Carer
Other
Mobile
Email Address
Preferred Contact Method
Select method
Email
Phone call
SMS
Enrolment Received
Thanks for getting in touch. We'll review your details and be in contact within 1–2 business days.
