TM Dance World Online Registration

Registration

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Welcome to TM Dance World! Please complete the following registration form.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

Post Code*

Home or Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=dd/mm/yyyy)

Cell #

Additional Info

Student Email

School

Skill Notes

Please click on the Search button below, then choose the class. If you are unsure you may leave this blank and our staff will complete this for you.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=dd/mm/yyyy)

Cell #

Additional Info

Student Email

School

Skill Notes

Please click on the Search button below, then choose the class. If you are unsure you may leave this blank and our staff will complete this for you.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=dd/mm/yyyy)

Cell #

Additional Info

Student Email

School

Skill Notes

Please click on the Search button below, then choose the class. If you are unsure you may leave this blank and our staff will complete this for you.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=dd/mm/yyyy)

Cell #

Additional Info

Student Email

School

Skill Notes

Please click on the Search button below, then choose the class. If you are unsure you may leave this blank and our staff will complete this for you.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=dd/mm/yyyy)

Cell #

Additional Info

Student Email

School

Skill Notes

Please click on the Search button below, then choose the class. If you are unsure you may leave this blank and our staff will complete this for you.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Important Information on how to enter you bank details

BSB - Enter the first 6 numbers of your bank account number
ACCOUNT NUMBER - Enter the 9 Numbers that follow after the BSB
* Do not add spaces or dashes when entering the account number

I've read the above and agree.

Payment terms and conditions

All programmes and term fees are worked out on a 9 week term. Week 10 or 11 are counted as bonus days for free! However these extra days also allow for any days missed due to public holidays, unforeseen weather conditions, along with any teacher or student sick day ( although we try our very best to never have these! )

Term fees are to be paid in full by the 2nd Monday of every term. Any Payments after this date will occur a 10% late payment fee. If a parent cannot make payment by this date but would still like to receive the discount please talk to Tara to arrange alternative payment options.

No classes can be removed or exchanged for our programme prices.

Any transaction or card fees that are charged by Intergral Pay (through Jack Rabbit) online payments are to be paid by the parents.

An annual registration fee of $25 per student or $30 per family will be added to the first teaching term each year

Any unpaid term fees that extend past one term will be forwarded to a debit collection agency and any fees occurred from this agency will be passed onto the parents.

I've read the above and agree.

Photography & Videography

I, give permission for TM Dance World to use video footage and / or photographs of my child/children. This usage may include (but is not exclusive to) displaying publicly, distributing, or publishing, photographs, and/or video of my child for use in materials that include, but may not be limited to:

- printed materials (eg - brochures and newsletters)
- online and offline advertising and promotion
- videos and digital images such for use on Social Media.

I acknowledge that I am giving permission for my child's image to be used in print, video, and digital media

If you have any concerns of questions regarding this agreement please contact Tara to discuss

I've read the above and agree.

Health Information and Medical Release/Waiver Form

I acknowledge that participation in dance and acrobatics is potentially dangerous and there is an inherent risk of injury involved.

In allowing my child to participate in TM Dance World classes, I hereby assume all the risks associated with the performing arts. I understand the importance of myself and my child following the instructions and rules set by their instructor/s, and I agree to release TM Dance World and it's employees of any and all liability which may arise as a result of my child's participation in activities at TM Dance World.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

eCheck/Bank Draft

Bank Name *

Account Type *

Your Account Name * (Your name on your bank statement)

Bank State Branch (BSB) Number * (6-digit number)

Account Number *