Enrolment

Student Information

Student Information
Your Name
Address
Suburb
Postcode
State
Telephone
Mobile
Email(valid email required)
Sex
Date of Birth
Age
Relevant / Ongoing medical conditions

Parent / Guardian Information

Parent / Guardian Information
Name
Home Phone
Mobile
Work Phone

Please specify the classes you wish to attend

Please specify the classes you wish to attend
Time / Class Type (ie Jazz, Tap) / Day
Time / Class Type (ie Jazz, Tap) / Day
Time / Class Type (ie Jazz, Tap) / Day
Time / Class Type (ie Jazz, Tap) / Day
Time / Class Type (ie Jazz, Tap) / Day
Time / Class Type (ie Jazz, Tap) / Day
Time / Class Type (ie Jazz, Tap) / Day
Private Dance Lessons
If Other
Help Lessons
If Other
Private Singing Lessons
Questions / Comments

PLEASE NOTE
This enrolment form must be accompanied by a registration fee of $27 single/$37 family to be remitted to the following back account:
BSB: 063-147
Account Number: 1054 3730
Account Name: Michelle Slater
Reference: Please use your family name as the reference.

Applications will NOT be processed without the accompanying administration fee…

- All term fees are due by the 2nd week of each term.
– It is the student/parent responsibility to notify their teacher of any injury/medical condition during or prior to the class.
– It is the student/teacher responsibility to inform the teacher of any injury which is being treated or that may be of concern during class.
– No liability will be taken for loss or damage of property or any physical injury caused whilst at Michelle Slater Performing Arts Studio premises.
– 24 hours notice for cancellation of any private lesson is required otherwise full lesson will be be payable.