Intake Form

Please use this form to:

Register for our Academic & Wellbeing Tutoring/Mentoring programs
Book an Introductory Art, Music or Drama session
Sign up for a School Holiday Workshop or Event
Join the waitlist for our Uability Life & Social Skills program

Client First Name *

Preferred Name (if applicable)

Client Last Name *

Client Address (optional)

Suburb *

State *

Postcode *

Date of Birth *

Client Mobile *

Email *

Emergency Contact First Name *

Emergency Contact Last Name *

Relationship to Client *

Contact Email *

Contact Mobile *

Waitlist or Program Options *

Enrol - Academic & Wellbeing
Intro - Art
Intro - Music
Intro - Drama
Book School Holiday (Primary)
Book School Holiday (YA-A)
Waitlist D&D One Shot
Waitlist D&D Campaign
Waitlist - Uability

Delivery Preference

Studio

Online

Appointment Preferences *

Preferred Days
Mon Tue Wed Thu Fri

Payment Preference for Introductory Offers, School Holidays & Event Booking

Send me a booking link ASAP so I can pay and secure my booking now

Please call me ASAP so I can make a payment credit/debit card over the phone

I would prefer to come into the studio to pay via EFTPOS

Additional needs details or any other information you would like to communicate? If you are interested in Music, please state what instrument you are interested in.

Thanks for filling out our intake form!

We’ll do our best to find a place for you in our programs, depending on availability.
Someone from our team will be in touch with you soon to chat about the next steps.

~ The Unity Studios Team

"Unity is strength… when there is teamwork and collaboration, wonderful things can be achieved." – Mattie Stepanek