Children's Music Land
PHONE 3715 8216 or 0422 909 266
7 Spinnaker Street Jamboree Heights 4074.
Early Childhood Programs
ENROLMENT FORM
Mount Ommaney
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CHILD’S NAME
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SURNAME
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NAME (S) OF PARENTS
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DATE OF BIRTH
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ADDRESS
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POST CODE
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PHONE
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(H) (W) (M)
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EMAIL
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WHERE DID YOU FIND OUT ABOUT OUR CLASSES ? (CIRCLE)
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LOCAL PAPER (AD WITH PHOTO)
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BRISBANE CHILD
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LEAFLET
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SHOP FRONT
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WORD OF MOUTH
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WHITE PAGES
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LOCAL PAPER TUITION COLUMN
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YELLOW PAGES
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WEBSITE
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CHILDBIRTH ASSOCIATION
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AUSSIE KIDS
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BUBHUB
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CLASS CHOICE – DAY AND TIME
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Class name and age group
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Location |
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Preference #1
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Day: Time:
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Preference #2
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Day: Time:
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PAYMENTS ARE NON-REFUNDABLE and NON-TRANSFERABLE
Please give/send this form along with payment (see attached form ) to:
Caryn Eastman (cheques to C. Eastman) PO Box 929 Sumner Park BC, Qld 4074
Please contact Caryn for bank details to deposit directly.
Please choose payment from information page and include full payment with enrolment form.
Enrolments will only be processed if payment is enclosed.
I understand and agree to the attached enrolment policies for Children's Music Land programs. I wish to enrol my child for the full course and make my non-refundable payment accordingly.
Signature: _______________________ Name:___________________________Date:_____________.
Pro rata payment amount available from Caryn for students who start during a course.
