Ettingshausens Online Registration

Registration

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Our enrolment fee for 2024 is $45.00 per student and covers administration, licenses and insurance costs. This fee is to secure your child's place in classes. For Martial Arts students there is a supplementary levy of $35.45 /student which covers additional insurances and equipment. For preschool students there is a supplementary prop and resource levy of $15.75 / student.

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Referral Information

How did you hear about us?*

Referral Name

Family Information

Surname Last Name*

Where do you live?

Home Address*

City*

State*

Postcode*

Primary Phone*

Contact #1

Parent Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone

Work #

Cell # * Receive Text Message Notifications

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Parent Contact #2 First Name

Last Name

How can we contact you?

Home Phone

Work #

Cell # Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Please click on the button below to select classes for your child/ren. Filters can be used for category, style and age.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Please click on the button below to select classes for your child/ren. Filters can be used for category, style and age.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Please click on the button below to select classes for your child/ren. Filters can be used for category, style and age.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Please click on the button below to select classes for your child/ren. Filters can be used for category, style and age.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Please click on the button below to select classes for your child/ren. Filters can be used for category, style and age.

Enroll in Classes

Select Class *

Add Another Student

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Exp Month

Exp Year

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Address Line 1

Address Line 2

City

State

Postcode

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

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Registration

Referral Information

Family Information

Where do you live?

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

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Student #4 (Show-Hide Details)

Additional Info

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Student #5 (Show-Hide Details)

Additional Info

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Questions or Concerns

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Credit Card

eCheck/Bank Draft

Required Policies

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