Enrolment Form - maeArts

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Class Enrolment Form

Contact Information:

* Indicates required field

Name *

First

Last

D.O.B (dd/mm) *

This field is not mandatory, however, you may miss out on special birthday discounts

Email *

Contact Number *

General Mentoring - 4 Week Blocks Sessions:

Please select all sessions you wish to attend. *

SEPT: 4th to 25th OCT: 2nd to 23rd NOV: 6th to 27th JAN 2024: 8th to 29th FEB: 5th to 26th MCH: 4th to 25th

Please check the box for your preferred session/s

Payment Terms & Conditions:

PAYMENT: *

$50 - Deposit (non-refundable) $70 - Balance

PAYMENT METHOD: *

Bank EFT - BSB: 923 100 | Accnt: 6201 9861 - M Elkin Credit/Debit Card - in person or via phone - 0401 839 592

Please select one option

Important Information:
Deposits are non-refundable and essential to secure your spot. There are no refunds or discounts for non-attendance of classes, so please be sure of your commitment to attend a 4 week block. Should you have any special circumstances, which you are aware of before hand, please feel free to discuss, and we may be able to come to some arrangement regarding your attendance.

I confirm I have read and understand the above PAYMENT TERMS & CONDITIONS: *

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