Enrolment Form

Class Enrolment Form

Contact Information:

* Indicates required field

Name *

First

Last

Email *

Contact Number *

Current Class Sessions:

Please select all sessions you wish to attend. *

Monthly Tuesday Class ONLY Monthly Saturday Class ONLY Both the monthly Tuesday & Saturday Classes

Payment Terms & Conditions:

Please select ONE option *

Individual Session/s - $25 per session Block of 4 Consecutive Sessions - $100

Payments are Essential Upon Registration to Reserve Your Spot:

Payment Method - Electronic Funds Transfer:
BSB: 923 100 | Accnt # 6201 9861 | Madeleine Elkin
Reference: Your SURNAME and session date, ie ELKIN Nov 10

Important Information re Cancellations:
As class numbers are small, please be certain of your attendance as I cannot offer refunds for no shows. Should you become aware that you will not be able to attend a session, please contact me as soon as possible. Provided a minimum of 1 weeks notice is given, I am able to offer a make up session, but only upon prior notice.

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

Agree

Submit