ACTION ACTING

57 Nelson St. Rozelle 2039
9818 5680 0412 354 512

STUDENT ENROLMENT FORM 2010

Please print out using Ctrl and P and bring to the first class

Name of student...............................................

Date of birth.....................................................

 Name of Parent/carer........................................

 Address.............................................................

 Phone................................................................

 Email: Please print clearly....................................

Medical conditions?...........................................
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How did you hear about Action Acting?..............
  1. Internet
         2. Newspaper
     3. A friend
 4. Other

TERMS AND CODITIONS

Full payment must be made within the first week of starting the class.
Whilst all care is taken and classes are fully supervised, Action Acting accepts no responsibility for damage, loss or injury.
The parent/carer will be responsible for any damage caused by the student.
There are no refunds or credits for missed classes.
Bad behaviour will not be tolerated under any circumstances and students will be asked to leave the class and parents contacted if this occurs. No refund will be given.

I HEREBY AGREE TO THE ABOVE TERMS AND CONDITIONS AS SET OUT ON THIS FORM. I ALSO PERMIT VIDEO TAPING OF THE STUDENT FOR CLASSROOM FEEDBACK PURPOSES.

PARENT/CARER SIGNATURE:


DATE:




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