Enrolment Application

Student Details

Full Name:


School Year:

Please select a lesson.

Special Needs/Medical Requirements/Allergies (please list all that apply):

Parent/Guardian Details

Full name:

Relationship to Student:



How would you prefer to be contacted?

Terms of Enrolment:
  • If for any reason the teacher cancels the lesson a make up lesson will be organised within the term. If this is not possible, a credit will be given for the following term.
  • At least 24 hours notice is required if a student is going to be absent from lessons. Where practical the teacher will try to run a make up lesson. If this is not practical, the lesson will be forfeited by the student.
  • Term fees must be paid in full by the end of the second week of that term. If they are not paid then enrolment will be cancelled.
  • All information in this document will be used for the reference of the teacher only. It will remain private and confidential.

I understand the above information regarding my enrolment in small group lessons.