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ENROLMENT FORM 2010
Please complete and return the document via email or post.
Postal:
154 Pacific Highway
Jewells
2280
Email: ccbabyballet@gmail.com
Does your child attend Preschool, School, Day Care? (please circle)
Parent/Carer
Family or Surname Given Name
Relationship to student
Address:
Home Phone: Mobile:
Email Address @
Please list ALL Adults who can collect your child after class.
How did you find out about Central Coast Baby Ballet?
Email: ccbabyballet@gmail.com T. 02 4947 4080 M. 0432 040 092 www.centralcoastbabyballet.com
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Photographs and Videos
Occasionally photographs and videos may be taken of individual students and
classes of students for promotional and/or media releases.
If you do not wish your child to be photographed or videoed under any
circumstances, please sign the statement below.
Signature Date
Signature Date
Applicant’s declaration
I declare that the information provided in this Enrolment Form is, to the best of my
knowledge and belief, accurate and complete.
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Time: Location: