Enrolment Form
Children's Music Land
PHONE  0422 909 266
 7 Spinnaker Street Jamboree Heights 4074.
18 Brook Street Boonah, Qld 4310
 
 
Early Childhood Programs
ENROLMENT FORM
 

 

CHILD’S NAME
 
SURNAME
 
NAME (S) OF PARENTS
 
DATE OF BIRTH
 
ADDRESS
 
POST CODE
 
PHONE
(H)                           (W)                          (M)
EMAIL
 
 
 
WHERE DID YOU FIND OUT ABOUT OUR CLASSES ? (CIRCLE)
LOCAL PAPER (AD WITH PHOTO)
BRISBANE CHILD
LEAFLET
 
WORD OF MOUTH
WHITE PAGES
LOCAL PAPER TUITION COLUMN
YELLOW PAGES
WEBSITE
CHILDBIRTH ASSOCIATION
   

 

  
CLASS CHOICE – DAY AND TIME
 

 

Class name and age group
Location
Mount Ommaney or Boonah
Preference #1
 
Day:                                            Time:
Preference #2
 
Day:                                            Time:

 

 
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 261 Boonah, Qld 4310
 
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.

Give your child the opportunity to open the door to music in their life for a lifelong journey.