3 weeks for $33 (Imagine program)
email@example.com Ph weekdays 0418309639 P.O. Box 103, Marong, 3515.
Date of Birth
Parents Full names
Check All That Apply
Tuesday 2.40pm Whatever the weather (3 classes commencing August 15 2017)
Please tell us a little bit about your child to help us assist them best.
Where did you here about us?
Yellow pages online
Conditions of enrolment
Health Information and Medical Release/Waiver Form:
I, the parent/guardian acknowledge that participation in dance is potentially dangerous and there is an inherent risk of injury involved.
In allowing my child to participate in Sharon Saunders Dancers activities, I hereby assume all the risks associated with the performing arts. I understand the importance of myself and my child following the instructions and rules set by their instructor/s, and I agree to release Sharon Saunders Dancers and it’s employees of any and all liability which may arise as a result of my child’s participation in activities at Sharon Saunders Dancers. In addition, I will inform the instructor of any injuries or physical limitations my child may have. I consent to the staff supplying first aid and seeking emergency medical, hospital, dental or ambulance services, or treatment if necessary and that I will reimburse any necessary expenses incurred by the school. I will advise Sharon Saunders in writing of any physical and medical conditions that arise.
I understand that Sharon Saunders Dancer (SSD) is committed to be a Child Safe School and I will need to read and abide by SSD Code of Conduct & policies.
I understand that full payment is required to confirm enrolment.
I understand that the school has a ‘no refund’ policy for non attendance.
However, a credit will be offered if after 2 sessions he or she is still not participating. Credit valid for 12 months-not transferable.
I give permission for Sharon Saunders Dancers to use video footage and / or photographs of my child. This usage may include (but is not exclusive to) displaying publicly, distributing, or publishing, photographs, and/or video of my child for use in materials that include, but may not be limited to:
- printed materials (eg - brochures and newsletters)
- online and offline advertising and promotion
- videos and digital images such for use on Social Media.
By agreeing to this form, I acknowledge that I am giving unrestricted permission for my child’s image to be used in print, video, and digital media. I agree that these images may be used by Sharon Saunders Dancers for a variety of purposes and that these images may be used without further notification. I do understand that any identifying information including surname and location will not be used in conjunction with any video or digital images.
Do Not Fill This Out