Studio J Dance Enrolment Form - Term 1, 2018
Term 1: 15 January 2018 to 11 March 2018
Please note that in order to secure your enrollment, payment is required at the time of completing this form.
We are located at Level 1, 147 Swan St, Richmond (enter via Waverley St).
In which class/es do you wish to enrol? *
Required
Contact info
Your full name *
Your answer
Phone number *
Your answer
E-mail *
Your answer
Emergency contact / Next of kin (name and mobile) *
Your answer
Terms and Conditions
I accept that all payments are non-refundable, including no credits or refunds for missed classes. Courses are payable in full, prior to term commencement.

In the event that the scheduled teacher is unable to attend, I understand that a Guest Teacher will be substituted or the class may be cancelled. If cancelled, a credit note or refund will be given for that class, whichever is preferred by me.

I declare that I am in suitable physical health to undertake these classes. I recognize and understand the risks of physical injury inherent to dance training and I fully assume those risks. I hereby release Studio J Dance and its teachers from all liability for injuries sustained while attending or participating in any dance classes, rehearsals or workshops.

Declaration *
Required
Payment
To pay via Internet banking (EFT), please use the following details and use your FULL NAME in the reference/description field:

Account Name: Studio J Dance
BSB: 063138
A/c No: 10919665

Payment confirmation *
Required
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