ONLINE ENROLMENT - PRE-SCHOOL CLASSESReturning Students HVT Pre School Enrolment form - RETURNING STUDENTS HVT STUDIO OF PERFORMING ARTS*2022 ENROLMENTPlease select your preferred classes time* MONDAY READY SET DANCE LEVEL 1 & 2 3:30PM MONDAY LEAPS N BOUNDS TODDLER ACRO 4:35PM MONDAY LEAPS N BOUNDS TODDLER BALLET 5:10PM WEDNESDAY READY SET DANCE LEVEL 1 (2-3YRS) 9:00AM WEDNESDAY READY SET DANCE LEVEL 2 (AGE 4-5 YRS) 10:35AM SATURDAY READY SET DANCE CLASS LEVEL 1 (2-3 YRS) 9:00AM SATURDAY LEAPS N BOUNDS TODDLER BALLET LEVEL 1 (2-3 YRS) 10:05AM SATURDAY LEAPS N BOUNDS TODDLER ACRO 10:40AM SATURDAY READY SET DANCE LEVEL 2 (AGE 4-5 YRS) 11:15AM SATURDAY LEAPS N BOUNDS TODDLER BALLET LEVEL 2 (4-5 YRS) 12:20PM Class Private Lesson Student Type* Returning 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 Post Code Emergency ContactsContact Name 1* First Last Relationship* Mobile No*Email - this person will be the main contact for emails* Contact Name 2* First Last Relationship* Mobile NoEmail Terms & ConditionsFees are to be paid by direct deposit only using one of the two optionsHow would you like to pay for your fees?* Full Term Payment by Week 1 (20% Discount) Weekly - with a direct transfer set up by yourself Registration Fee Price: Processing Fee Price: $ 0.00 Total $ 0.00 Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Credit CardCard Details Cardholder Name 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 for my child. 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. 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.Parent/Guardian E-Signature* Write down full nameClick the checkbox if you have read and agree to the terms & conditions.* I agree Date* DD dash MM dash YYYY ACTIVE KIDS VOUCHERACTIVE KIDS VOUCHERS ARE REDEEMABLE FROM SERVICE NSW FOR CHILDREN AGED 4 1/2 YEARS OF AGE. TO CLAIM YOUR VOUCHER PLEASE ENTER YOUR VOUCHER NUMBER ABOVE. CREATIVE KIDS VOUCHER DETAILSCREATIVE KIDS VOUCHERS ARE REDEEMABLE FROM SERVICE NSW FOR CHILDREN AGED 4 1/2 YEARS OF AGE. TO CLAIM YOUR VOUCHER PLEASE ENTER YOUR VOUCHER NUMBER ABOVE. CommentsThis field is for validation purposes and should be left unchanged.