ONLINE ENROLMENT – KINTERGARDEN TO ADULT CLASSES HVT STUDIO OF PERFORMING ARTS - Student Enrolment Form Student enrolment form for kindergarten to adult classes Location*East MaitlandClarence TownClasses* Tap Ballet Jazz Contemporary/Lyrcal Hiphop Eisteddfod Private Lessons Tap Ballet Jazz Contemporary/Lyrical Exam Private Lesson Tap Ballet Shared Exam Private Lessons Adult Classes Tap Jazz Ballet/Contemporary/Lyrical Student Type*Current StudentNew StudentPlease indicate your agreed lesson days & times (if known)Student Name* First Last Date of birth* Address* Street Address Suburb State / Province / Region Post Code Student Mobile No (if any)Student Email (if any) Emergency ContactsContact Name 1 First Last RelationshipMobile No*Email* Contact Name 2 First Last RelationshipMobile NoEmail Terms & ConditionsFees can be paid by direct deposit only using one of the two optionsPayment Type*Full Term Payment by Week 2 (20% Discount)Weekly All lessons enrolled in and missed must be paid for. No refunds, discounts or credits will be given for any missed classes due to illness or holiday. No refunds for change of mind. Term fees not paid in full by week 2 will be charged at the weekly rate. This is to be set up as a weekly regular direct debit. Fees not paid within 4 weeks will result in termination of tuition. Four weeks notice must be given in writing to cancel any lessons currently enrolled in. Upon termination of tuition all music, routines, choreography and images (photographic & video) remain the property of HVT Studio of Performing Arts. If there is a pro-longed injury or illness i.e. Duration of 3 weeks or more a credit is eligible after presenting a doctors certificate. Injury/Medical Condition & Consent It is the students/parents responsibility to inform their teacher of any injuries/medical conditions prior to class commencing. In the event of a medical emergency, and where a parent or guardian cannot be notified, I authorise HVT Studio of Performing Arts to seek medial advice. I acknowledge that with any physical activity there is a risk of personal injury involved. I understand that HVT staff members take the utmost care to provide a safe dance experience and neither HVT or it’s teachers are responsible or liable for any injury/accident that may occur. Alergies or learning difficulties to be aware ofMedia ConsentStudents at HVT Studio of Performing Arts may be photographed or filmed and these photo’s may be used for promotion purposes in newspapers, magazines, webpage’s and social media. If you don not wish for the students photo or footage to be used then please advise below;Do you give perimission?*YesI do not give permissionIF YOU ARE VIEWING CLASS THROUGH OUR VIEWING WINDOWS OR IN THE ROOM, RECORDING FROM MOBILE PHONES OR ANY OTHER PHOTOGRAPY IS STRICLY PROHIBITED.How did you hear about HVT? Newspaper Web Flyer Word of Mouth School Newsletter Yellow Pages Facebook/Social Media Drive past Parent/Guardian E-Signature*Write down full nameClick the checkbox if you have read and agree to the terms & conditions.* I agree This iframe contains the logic required to handle Ajax powered Gravity Forms.