Rising Stars Enrollment Form
Contact Information
Student Name *
Date Of Birth *
Class Preference *
Parent/Guardian Contact Name *
Address *
Mobile *
Email *
Terms and Conditions
1.By enrolling your child(ren) you hereby agree to pay the nominated term fees as per below:
$150 – per child (one child enrolled)
$135 – per child (two or more children enrolled)
2.Fees are payable by automatic payment/bank deposit/cash or eftpos and will be paid within the first month of the new term unless prior arrangements have been made.
3.Failure to pay your fees in this period may result in your child’s place being given to another student.
4.Each one hour session is limited to a maximum of 15 children.
5.I agree to collect my child at the end of each class as per the schedule set out on the enrolment form.
6.Should my child not be returning to the class for a term I will notify the co-ordinator so that their place can be made available to another student.

The information provided on this form will be used exclusively by Pukekohe Performing Arts. I give permission to Pukekohe Performing Arts and officials of the Society to use the information given for purposes directly related to the production and the business of Pukekohe Performing Arts. I give permission for PPA to use this information on rehearsal schedules and contact lists.
I agree to the above terms and conditions *
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