HVT New Enrolment Form – Adult – HVT Studio of Performing Arts

HVT STUDIO OF PERFORMING ARTS(Required)

Classes(Required)

Adult Tap

Adult Combo Class

Adult Ballet

Student Type(Required)

New Student

Please indicate your agreed lesson days & times (if known)

Student Name(Required)

First Last

Date of birth(Required)

Address(Required)

Street Address Suburb State / Province / Region Post Code

Mobile Phone Number(Required)

Email Address(Required)

Emergency Contacts

Contact Name 1(Required)

First Last

Relationship(Required)

Mobile No(Required)

Terms & Conditions

Fees can be paid by direct deposit only by term (10 week block). An annual registration fee of $42 is payable with your first terms tuition.

Payment Type(Required)

Full Term Payment by Week 1 (20% Discount)

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 1 will be charged at the weekly rate. This is to be set up as a weekly regular direct debit. Fees not paid within 2 weeks will result in termination of tuition.
Four weeks notice must be given in writing to cancel any lessons currently enrolled in. Lessons will then be forfeited.
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.

Allergies to be aware of;

Media Consent

Students 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 permission?(Required)

Yes

I do not give permission

IF YOU ARE VIEWING CLASS THROUGH OUR VIEWING WINDOWS OR IN THE ROOM, RECORDING FROM MOBILE PHONES OR ANY OTHER PHOTOGRAPY IS STRICLY PROHIBITED. Unless a person has been given written permission from the Dance studio principal to do so, including the written permission from the teacher who originally choreographed the work, no choreographed works may be posted on social media.

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HVT New Enrolment Form – Adult

Emergency Contacts

Terms & Conditions

Injury/Medical Condition & Consent

Media Consent

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