Boss Builder Registration

Parent\Guardian Details

Parent's Full Name

Email

Phone

Postal Address

Full Name of Emergency contact (if different from Parent)

Phone number of Emergency contact (if different from Parent)

About the Learner

Learner's Name

Learner's Preferred Name

Learner's Age and School Year

Learner's School Name and Address

Describe the learner's allergies and intolerance. A list of any known allergies, specifying the allergen (e.g., “peanuts,” “eggs,” “milk”). If none please write N.A

Describe the severity of the allergy (e.g., mild, moderate, severe) and any common symptoms the learner experiences during a reaction (e.g., hives, swelling, difficulty breathing).

Give details about any medication required in case of an allergic reaction (e.g., EpiPen, antihistamines) and clear instructions on how to administer it.

Medical conditions that may require attention during the session.

Details about the learner’s specific needs (e.g., sensory sensitivities, mobility challenges, or communication preferences)

“Information on any individualised learning plans or support strategies provided through the school or the Student Support Services Division (SSSD).

Preferred methods of communication for the learner (e.g., visual aids, simplified language)

Triggers or situations that may cause distress

Calming techniques or strategies that work well for the learner

Any other behavioural considerations, such as routines or sensory preferences

Can photos/videos of the learner can be taken and used for marketing purposes?

Yes

No

Uniform

Just to confirm, Little Bosses Academy will provide two uniforms for each child:

Little Bosses Academy uniform: T-shirt and cap (sent by post) to be worn 31 July

Barry’s Bakehouse uniform: blue shirt, cap, tie and khaki trousers to be worn 1 August
(distributed in-person 06 November)

For 06 November, please could your child wear navy trousers, leggings, joggers or shorts with their Little Bosses Academy T-shirt.

White trainers would be preferred for 06 and 07 November, but all-black trainers are also perfectly fine.

Would you to ask any questions or add any additional notes?