ONLINE ENROLMENT - KINDERGARTEN TO ADULT CLASSESNEW STUDENTS HVT Enrolment Form - School Age - Adult NEW STUDENTS HVT STUDIO OF PERFORMING ARTS*2021 ENROLMENTClasses* Tap Ballet Jazz Contemporary/Lyrical Hiphop Acro & Stretch Adult Tap Adult Combo Class Eisteddfod Private Lessons Tap Ballet Jazz Contemporary/Lyrical Exam Private Lesson Tap Ballet Shared Exam Private Lessons Student Type* New Student Please indicate your agreed lesson days & times (if known) Student Name* First Last Date of birth* DD slash MM slash YYYY Address* Street Address Suburb State / Province / Region Post Code Student Mobile No (if any)Student Email (if any) Emergency ContactsContact Name 1* First Last Relationship* Mobile No*Email* Contact Name 2 First Last Relationship* Mobile No*Email* Terms & ConditionsFees can be paid by direct deposit only using one of the two options. An annual registration fee of $35 is payable with your first terms tuition. Students must not participate in classes at another dance studio establishment whilst enrolled at HVT. Payment Type* Full Term Payment by Week 1 (25% 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 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. 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 permission?* 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.How did you hear about HVT? Web Flyer Word of Mouth School Newsletter Yellow Pages Facebook/Social Media Drive past TV Parent/Guardian E-Signature* Write down full nameClick the checkbox if you have read and agree to the terms & conditions.* I agree Date* DD slash MM slash YYYY Active Kids and Creative Kids Vouchers (school age children)* I am submitting my Active Kids Voucher to use towards tuition I am submitting my Creative Kids Voucher to use towards tuition I won't be using my vouchers N/A Please fill in the voucher details below for each voucher you would like to submit. ACTIVE KIDS VOUCHER DETAILS - VOUCHER NUMBER PLEASE CREATIVE KIDS VOUCHER DETAILS - VOUCHER NUMBER PLEASE NameThis field is for validation purposes and should be left unchanged.