2016 ENROLMENT FORM
Phone (Hm) ___________________(Wk)_________________(Mb)_______________________________
Do you have any illness/injury/allergies we should be aware of? Yes/No
If yes please give details________________________________________________________________
Who should we contact in case on emergency?
Give details Name_________________________ Relationship to child ___________________________________________________Phone___________
I _____________________________________Parent/Guardian of _______________________________
Agree to the terms and conditions set by CorinaSchoolofDance.
It is understood that all students take classes at their own risk and no liability
Under any circumstances shall be taken by the Principals for injury or loss of personal property.
In the event of a medical emergency, and where a parent or guardian cannot notified, I authorise CorinaSchoolofDance to seek medical advice for my child.
CorinaSchoolofDance is not responsible for your child outside of nominated class times. Please be prompt to pick up your child after their class.
Parents and siblings are not permitted in the studio during classes unless prior arrangements have been made with the teacher.
Proper grooming and dress code is required for all classes.
To ensure continued enrolment please pay your account within the specified time.
By signing this enrolment form you confirm that you have read the terms and conditions of payment of fees
(Attached) and general Terms and conditions.
Please return your enrolment form to the front desk by 8/1/2015 together with the enrolment fee of $25 per child/per year.
SIGNED TERMS AND CONDITIONS OF PAYMENT OF FEES