Child Enrolment Form

Child Enrolment Enquiry Form - Term 1 2012

Please note that we will do our best to enrol your child in the requested class, however completing the form does not guarantee a place.

We will contact you as soon as possible to confirm an available place and give your further details or to let you know more information.

* entry is mandatory

Class Details

Class: *

Student

First Name: *

Surname: *

Gender: *

Date of Birth: * * *

Allergies/health issues:

Parent/Guardian

First Name: *

Surname: *

Home Phone:

Work Phone:

Mobile Phone:

Email Address: *

Address:

Suburb:

Postcode:

How did you find out about these classes?

Other

Photo Publication Permission

From time to time I take photos of the children enjoying the class.

Do I have your permission to display photo(s) of your child on my web site? *

Any other comments

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Terms and Conditions

Your enrolment will be confirmed upon receipt of payment unless other arrangements have been made directly with Karen. Every effort will be made to keep places for continuing students. However, Karen reserves the right to fill places if payment has not been received. If you cannot attend a class you may make up the class during the same week if there is place in another class. Unfortunately no refund or credit can be given for missed classes. Please note that all students are added to my email newsletter list on confirmation of a place.

I have read and agree to these terms.