Parent information
Parent name:*  
Phone:*
Email:*
Address:*
City/suburb:*
State:*
Postcode:*

Child information
Child's name:*  
Gender:*   Male       Female
Date of birth:*
Any allergies?:   Yes       No

Select your class
Class:*
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Payment information
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Terms of acceptance
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By selecting this checkbox, we:
  1. Hereby release and agree to indemnify and hold harmless Kindermusik with Andrea Crosswell, its educators, employees, liabilities, costs and expenses including solicitor's fees which they or any of them or my child may sustain or incur in any way arising out of my child's participation in any and all Kindermusik with Andrea Crosswell activities.
  2. Have read and fully agree with the Enrolment Policy