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
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age as at 31/08/2019
Your answer
Contact Number *
Your answer
Email *
Your answer
Parent's Name (registering on behalf of a child)
Your answer
Parent Contact Number
Your answer
How we can contact you *
Required
Emergency Contact Details Name *
Your answer
Emergency Contact Details Number *
Your answer
Emergency Contact Details - Relationship *
Your answer
Are you new to Physie?
If No, what Physie Club have you been associated with?
Your answer
If Yes, how did you hear about us
Your answer
Year Commenced at Como Physie
Your answer
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?
Your answer
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?
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) *
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