ENROLMENT FORM

STUDENT FULL NAME (required)

STUDENT D.O.B (required)

STUDENT AGE (required)

SCHOOL YEAR (required)

SCHOOL NAME (required)

RESIDENTIAL ADDRESS (required)

PHONE (required)

CONTACT EMAIL (required)

PARENT/GUARDIAN NAME (required)

PARENT/GUARDIAN NUMBER (required)

EMERGENCY CONTACT NAME (required)

EMERGENCY CONTACT NUMBER (required)

DOES THE STUDENT HAVE ANY DISABILITIES THAT STUDIO A NEED TO BE AWARE OF? (required)
NoYes

IF YES, PLEASE SPECIFY.

DOES THE STUDENT HAVE ANY INJURIES OR MEDICAL CONDITIONS THAT STUDIO A NEED TO BE AWARE OF? (required)
NoYes

IF YES, PLEASE SPECIFY.

DOES THE STUDENT HAVE ANY ALLERGIES THAT STUDIO A NEED TO BE AWARE OF? (required)
NoYes

IF YES, PLEASE SPECIFY.

DO YOU GIVE US PERMISSION TO USE YOUR CHILD’S PHOTOGRAPH / VIDEO FOOTAGE FOR ADVERTISING AND SOCIAL MEDIA (required)
NoYes

PLEASE ADVISE WHICH CLASSES YOU ARE INTERESTED IN.

ANY FURTHER NOTES.

HOW DID YOU HEAR ABOUT STUDIO A? (required)
Social MediaReferralAdvertisingWord of MouthOther

Do you agree to our Terms and Conditions?
Yes

This Enrolment attracts an Enrolment Fee. This will be added to your first invoice. Our administration team will process your Enrolment once payment has been received and you will be added to our email system.