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Online Enrolment Form

Please complete your details on the enrolment form and click "Submit".   Please call us on 0402 013 449 if you experience any difficulties.

Alternative, would you prefer a printed PDF Enrolment Form?
We will contact you to confirm your class. (Please submit one for each child)

CHILD INFORMATION
First Name *
Last Name *
Date of Birth *
Sex
Address
Postal Address
(if different from above)
Please enrol my child in *
My preference for day is: *
My preference for time is: *
Location: *
PARENT INFORMATION
First Name *
Last Name *
Home Telephone *
Mobile Telephone
Email Address *
Emergency Contact
Emergency Telephone
HEALTH INFORMATION
Does your child have special needs?
If yes, what are they?
PAYMENT INFORMATION
Method of Payment *
How did you hear about us?
(if "friend" from above, please tell us their name)
(if "other" from above, please tell us how)
I give Lifesong permisson to use photographs of my child in Kindermusik for Lifesong publicity:
YES NO
 
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