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Kodaly Music | Movement | Child-Led
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Parent-Child Class Enrolment
Please complete one form per child. Your enrolment will be based on class availability. You are welcome to contact us to enquire about availability before completing this form, otherwise we will contact you should your chosen day be unavailable.
Date of Birth
Mobile Phone Number
Home or Work Phone Number
Belgrave. Currently N/A: please contact us
Day of week preference?
THURSDAY (Belgrave Only)
Alternative Day Availability
(In case your preferred day is fully booked)
What date/week would you like to commence classes? Please note: Seaford runs from 1st day of school term through until last day with no school term breaks. Belgrave runs with the School Term.
Please note: Seaford runs from 1st day of school year (usually mid-late January) through until last day (usually mid-Dec) with no school term breaks.
Emergency Contact Phone Number
Emergency Contact Relationship
Does your child have any allergies, medical conditions, challenges or sensitivities that we should be aware of?
(Please note: you will be required to complete a Medical Form at your first class)
Has your child been immunised as per the National Immunisation Program Schedule?
YES - Please bring a copy of your Child's Immunisation Record with you to class
NO - We will contact you to discuss further
Do you consent to your child being photographed?
(Please note: more information is provided on our Photography Consent Form to be completed at your first class should you choose to consent)
Lastly, how did you hear about us?