• Registration Form

    Registration Form

    Submission of this form does not guarantee enrolment, places will be confirmed via email.
  • Invoice to:*

  • Your details

  • Do you have a PO Box?*
  • For the purposes of Emergency Medical attention, do you have any allergies or additional information which may be relevant?*

  • Emergency contact details

  • Do you have a disability, impairment or long-term condition?*
  • If yes, please provide more details:*
  • Do you require a carer to attend with you?*
  • Membership - If you would like to become a member of Yarrunga Community Centre Inc*

  • Mailing List

    You will automatically be added to our mailing list to receive news and updates from Yarrunga Community Centre, however you have the option to unsubscribe at any time.

  • Terms and Conditions

  • Payment and Refund Policy
    Fees for courses are to be paid before the course commencement unless prior arrangements have been made.

    If you withdraw one week or more prior to the course start date in writing, you will receive a full refund of the fees, less a $10 administration fee. If less than one week’s notice is given, 50% of the fee will be refunded less the $10 administration fee.

    If we cancel a course for any reason, your fees will be refunded in full.

    No refund will be issued once a course has commenced and you will still be liable for any unpaid fees.

    For further information, please see Fees Information booklet.

     

     

  • Signature and Declaration (please read, you will be required to tick all the boxes before proceeding)*
  • I will allow photographs/videos of me to be taken as part of my classes at Yarrunga Community Centre Inc. to be used on display boards, TV screens, web pages or CD’s, brochures/posters, video/audio, newsletters, newspaper articles or Annual reports.*

  • Privacy Statement

  • Yarrunga Community Centre Inc. will not give any personal information about you to anyone else without your written permission. This is the law known as the Privacy Act, (2001).

    For more information in relation to how student information may be used or disclosed please contact Yarrunga Community Centre's Privacy Officer on phone (03) 9722 8942 or email info@yarrunga.org.au.

  • Please read, you will be required to tick all the boxes before proceeding.*

  • Please note: Students under 18 must attend with an adult

  •  
  • Should be Empty: