Enrolment Form

Parent/Guardian Full Name*
First Last
Parent/Guardian Mobile Phone*
Parent/Guardian Landline
Parent/Guardian Contact Number 2*
Parent/Guardian Email Address*
Enter Email Confirm Email
Parent/Guardian Address*
Street Address Address Line 2 City County / State / Region Country
Payment Method*
- Pay Online
- Posted
- Pay At Class First Week
Booking in Respect of: Student Full Name*
First Last
Student Date of Birth*
Venue: Please Select*
Class: Please Select*
Day of the Week: Please Select*
Grade Level*
Please enter the Grade Level
Please Tick to Consent to Photos & Recordings of Your Child Being Used on our website & promotional materials.*
- Yes- I do give my Consent
- No - I do not give my Consent
Medical Allergies or Conditions or Injuries
Please supply details here
Additional Notes
Please add any other information you feel relevant
Do You Wish To Add Other Students To This Booking?
- Yes
- No
Student Name
First Last
Student Date of Birth
Class: Please Select
Venue: Please Select
Day of the Week: Please Select
Grade Level
Please enter the Grade Level
Please Tick to Consent to Photos of Your Child Being Used in Publications
- Yes - I Give My Consent
Medical Allergies or Conditions or Injuries
Please supply details here
Additional Notes
Please add any other information you feel relevant
Privacy*
- By using this form you agree with the storage and handling of your data by this websites Privacy Policy *
Comments
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