Registration Form
Welcome to Como Physie. Please complete the form to register. If any of the details change please advise us in writing at info@comophysie.com.au.
Name *
First and last name
Date of Birth *
MM
/
DD
/
YYYY
Age as at 31/08/2019
Contact Number *
Email *
Parent's Name (registering on behalf of a child)
Parent Contact Number
How we can contact you *
Required
Emergency Contact Details Name *
Emergency Contact Details Number *
Emergency Contact Details - Relationship *
Are you new to Physie?
Clear selection
If No, what Physie Club have you been associated with?
If Yes, how did you hear about us
Year Commenced at Como Physie
PHOTO PERMISSION for Como Physie to use images of me/my child for social media and club publications *
Are their any medical or health concerns that we need to be aware of?
Registration Fee Policy
Como Physie fees are payable via two options. Annually (discounts apply) or by four (4) installments. Fees can only be paid via direct deposit, please email info@comophysie.com to discuss, if direct debit is not available to you. Please refer to Fee Schedule Form for costs and options. Please note Insurance is covered through your Physie Fees not registration.A registration fee is payable (once annually/ per person) which includes membership, all competition entries (interclubs, teams and champion girl/lady). Click here for fee schedule.
Como Physie offers the Creative Kids Rebate, would you consider using your rebate with us?
Clear selection
Studio Policy
Every care is taken in teaching dancing at Como Physie. However, Como Physie and its teachers cannot be held responsible for any accident, personal injury, loss or damage to any personal possessions.
Acknowledgement ( by selecting Yes) *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy