Enrolment form

Thank you for booking an art class or series of classes online. In order to confirm your enrolment, we need a few more details from you. Please complete this form.

Student Name *

First

Last

Date of birth *

dd/mm/yyyy

Year Level *

Known allergies or learning challenges

Please list any known allergies and learning challenges or write n/a

Parent Details *

First

Last

Address *

Email *

Phone number *

Alternative contact *

First

Last

Please provide an alternative contact such as other parent, in case we cannot reach you.

Alternative contact phone number *

Photo permission *

Yes
No

Photos may be taken, video recordings or voices recorded as part of the learning process and for promotional purposes only. Please provide consent using the options above.

Comment or Message *

An invoice will be sent to you upon receipt of your online session booking and this enrolment form. Payment is required to secure your child's place.

Digital signature *

Please write your full name as a signature for this online form. In doing so, you agree the above information is correct.

Email

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Enrolment form

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