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Enrolment Form

Please complete all sections of the form below and press SUBMIT

Child's Details:

Child's First Name

 

Child's Last Name

 

Date of Birth

 

School

 

School Grade 2024

 

Shirt Size

Kids Size: 4, 6, 8, 10, 12

Adult Size: small, medium, large

Are there any court orders, parenting orders or parenting plans that relate to the residence, contact or access to your child? Please provide a copy of the relevant court orders (email to natalie@cantabilemusic.com.au).

 

Parent/Guardian's Details:

Parent/Guardian's First Name

 

Parent/Guardian's Last Name

 

Postal Address

 

Home Phone

 

Work Phone

 

Mobile Phone

 

Email Address

Emergency Contacts:

To be contacted if the parent/guardian listed above is not reachable.

Emergency Contact 1 Name

 

Emergency Contact 1 Relationship

 

Emergency Contact 1 Mobile Phone

 

Emergency Contact 2 Name

 

Emergency Contact 2 Relationship

 

Emergency Contact 2 Mobile Phone

 

Health Details/Special Needs

A disability/chronic illness

 Yes

 No

Allergy

 Yes

 No

Asthma

 Yes

 No

ADD/ADHD

 Yes

 No

Autism spectrum disorder

 Yes

 No

Diabetes

 Yes

 No

Epilepsy

 Yes

 No

Skin condition

 Yes

 No

Other

 Yes

 No

Please provide details

 

Please submit relevant action plan where applicable. Refer to https://www.allergy.org.au/hp/ascia-plans-action-and-treatment for action plan forms.

Please select your payment method

Payment Method

    PaypalDirect Deposit

 Sibling Discount

 

Apply Creative Kids Voucher $100

Please email your creative kids voucher to natalie@cantabilemusic.com.au 

 

Terms and Conditions

I would like to enrol my child _______________________________ into the Southern Highlands Children’s Choir for the academic year of 2024 (04/02/20 – 04/12/20).  I agree and abide by the terms and conditions.  

Contact

I'm always looking for new and exciting opportunities. Let's connect.

123-456-7890 

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