Enrolment

Eden Dance Academy Pty Ltd
Enrolment Form 2018

Please fill in the details below and place in the black box located by the entrance or post to PO Box 1537 Queanbeyan NSW 2620 or email to edendanceacademy@gmail.com. Your invoice and term dates will be mailed out to you. Print 2018 enrolment


Student Details

Parent / Guardian Details

Classes to enrol student in:

  Class Name Day Time Code
1
2
3
4
5
6
7
8
9
10

Does your child have any medical conditions or allergies?
Please describe below

Eden Dance Academy Pty Ltd
Liability Waiver and Acknowledgment of Risk:

PLEASE READ AND AGREE TO THE TERMS AND CONDITIONS BELOW

I understand and agree that in participating in any dance class, workshop, rehearsal or performance, there is a possibility of physical injury or death. I voluntarily agree, therefore, to assume all risks and responsibility for any such injury or accident, which might occur to me or my child during any of Eden Dance Academy Pty Ltd classes, rehearsals, performances, or activities. I also exempt, release, and indemnify Eden Dance Academy Pty Ltd, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to me, my children, or property which may arise out of or in connection with participation in any classes or activities conducted by Eden Dance Academy Pty Ltd.I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold Eden Dance Academy Pty Ltd, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students liable for such damage, loss, injury, or death. I understand that I should be aware of my physical limitations and agree not to exceed them. If I am signing this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights.

Permission is granted for dden dance academy pty ltd to use photographs of students for publicity purposes. I hereby give permission to Eden Dance Academy Pty Ltd to photograph and video my child for current and future Eden Dance Academy Pty Ltd concert. I understand that the video and photographs will be reproduced for other Eden Dance Academy Pty Ltd Concert families that have purchased the DVD or Photographs. I also understand that images may be used in media publications. I hereby give my permission for the following:

  • Name :
  • Image/photograph :

I understand and accept that enrolment in dance, singing or acrobatics classes and workshops at Eden Dance Academy Pty Ltd is a service and incurs a fee and late fees apply for invoices not paid by the due date. I have provided the correct details for invoicing and fees will be paid by the due date or a payment schedule will be established.

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