Registration

Primary Contact information

Full Name

Role / Position

Mobile Number

Email Address

Preferred Method of Contact

Email Phone SMS All

Centre Information

Centre name

Service Type

Address

Phone Number

Email Address

Website (optional)

ABN (optional)

Program Preferences

Preferred Start Term

Preferred Days/Times (E.g. Mondays 9:30–10:30am) Not Guaranteed

Number of Classes / Groups

Average Number of Children per Group

Age Range of Children

Marketing and Promotion

Upload High-Quality Centre Logo

Consent for Publicity

Yes – we consent to sharing photos/videos from sessions No – please do not use our photos/videos publicly

Authorisation Agreement

I confirm that the above information is correct and that I’m authorised to register the centre.

I agree to Mini’s program terms/invoicing policy and communication updates

Signature & Date

Date

Signature (Digital)