ENROLMENT FORM 2017

 

STUDENT DETAILS

 

Given Name………………………………………………………. Surname……………………………………………………….

Date of Birth…………………………                                   Male/Female (circle)

Postal Address……………………………………………………………………………………………………………………………

Postcode………………………..                                         Phone…………………………………………………………..

PARENT/GUARDIAN INFORMATION

 

Mother……………………………………………………….       Father……………………………………………………………

Mobile…………………………………………… …………        Mobile……………………………………………………………

Email…………………………………………………………        Email…………………………………………………………….. 

STUDENTS ACCOUNTS

 

Name of person responsible for paying accounts:…………………………………………………………………………….

Address of person responsible for paying accounts:…………………………………………………………………………

…………………………………………………………………………………………………………………………………………………

PERSON OTHER THAN PARENT TO CONTACT IN AN EMERGENCY

 

NAME.……………………………………………………………………………………………

RELATIONSHIP TO STUDENT………………………………………………………

PHONE………………………………………………………………………………………….. 

MEDICAL DETAILS

 

MEDICAL CONDITIONS(e.g. .Allergies, Asthma, Epilepsy)………………………………………………..

DO WE HAVE PERMISSION TO TAKE YOUR CHILD TO THE NEAREST HOSPITAL OR DOCTOR FOR MEDICAL ATTENTION IF THE NEED ARISES?

YES/NO(circle)SIGNED…………………………………………………………………………………………………..

ACCETANCE OF TERMS AND CONDITIONS

I have read and agree to the terms and conditions overleaf for my child and agree to all the conditions listed by Andrea Rowsell Academy of Dance.

 

SIGNED………………………………………………………....DATE………………………………………………………

 

ANDREA ROWSELL ACADEMY OF DANCE

TERMS AND CONDITIONS FOR PAYMENT AND ENROLMENT

FEES

I agree to pay term fees within 28 days from the commencement of the term, and understand I must pay regardless of attendance.

I agree to keep weekly fees up to date and understand I must pay regardless of attendance.

I understand that I must have my fees up to date to commence classes for the following term, this includes any costume or exam fees. If fees remain unpaid with no communication after your reminder notice has been issued, your details will be sent to our debt collectors and legal action may be taken. Agency costs will also be added onto your account.

RESPONSIBILITY

I understand that physical contact whilst making corrections may be necessary at times.

I understand that I must collect my child promptly at the completion of class and that my child must wait inside the building for collection.

I understand that Andrea Rowsell Academy of Dance does not accept any liability for loss or damage of property or injury to a student or family member which may occur on the premises.

I understand that my child will be dancing at his or her own risk.

I understand that my child will be photographed and filmed during classes and performances. I give permission for these to be used for promotional purposes of Andrea Rowsell Academy of Dance.

GROOMING AND ETIQUETTE

I understand that class uniform is to be worn to all classes. Hair is to be groomed appropriately and no jewellery be worn. When arriving and leaving the studio I will ensure my child is covered (Academy tracksuits are available) and not wearing dance clothes only.

No class can be interrupted. If you need to make contact with the teacher either send a note or contact the Academy to make an appointment.

If classes are not attended regularly the teacher may decide to withdraw your child from Eisteddfods, exams or concert work.

Respect the facilities provided by not eating in the studio or foyer areas as this is a designated warm up area.

Arrive early to class to ensure your child has sufficient warm up for safety and well being.

This school wishes to remain a nurturing environment, parents and students are asked to respect each other and to act in a cordially fashion.

Please inform the Academy of any changes to the information given.(address, phone, medical changes etc)

 

Thank you for your time in reading the above, I look forward to our contact throughout the year. Andrea Rowsell

Class   Number of Classes(Exam students must attend 2 classical classes per week)
Classical
Contemporary
Tap
Jazz
Private Lesson