Student Enrollment & Release Form: SPROUTS

STUDENT ENROLMENT FORM

Please fill the form out carefully.
Name :*

Students First NameStudents Last Name
Birth Date :*

MonthDayYear
Gender : *
ID Number or Passport number :*
Nationality :*
Home Language(s) :*
Permanent Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address :*
example@example.com
Phone Number : *
Emergency Contacts Name :*

First NameLast Name
Emergency Contacts Cell Number :*

MEDICAL & EMERGENCY INFORMATION
Do you suffer from any medical conditions or disabilities that may affect your learning ability ?*

YESNO
Please specify if you chose YES :
Membership Number :
Medical Aid Name :
Your Family Doctors Name :
Your Doctors Telephone Number :
MEDICAL CONSENT

I, the undersigned student, hereby give consent for the Director of the college, or their appointed representatives, to act on my behalf in the event that medical treatment or surgical intervention is deemed necessary during my participation in college-related activities.To the best of my knowledge, I am in good health and physically capable of participating in all scheduled activities. I confirm that all relevant medical information has been truthfully and accurately provided in the form above.
Students Signature :*

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Medical Consent and Program Liability Waiver : I, the undersigned student, confirm that I am of legal age and fully aware of the nature of the program for which I am registering at the DJ Academy. I understand that this program involves physical activities and hands-on participation in an immersive music and DJ training environment. Activities may take place in both indoor and outdoor settings and could include prolonged standing, use of electrical equipment, sound systems, and exposure to high-volume music.I acknowledge that there are inherent risks associated with these activities. As a condition of my participation in this program and/or use of DJ Academy facilities and equipment, I agree to take full responsibility for any personal injury, property damage, loss of personal property, or any other loss that may occur as a result of my participation.Furthermore, I agree not to hold the DJ Academy, its directors, staff, agents, or representatives liable for any damages, liabilities, or expenses that may arise from my involvement, to the fullest extent permitted by law. I confirm that I am in good health and physically capable of engaging in the activities required by the program. All relevant medical information has been truthfully provided in the form above.*

I ACCEPT THE TERMS AND CONDITIONS

FULL-TIME COURSE DETAILS
The M&M Pro DJ Academy is the most comprehensive and hands-on learning experience for the aspiring modern-day DJ.

The academy caters to anybody that has an interest in DJing - from the complete beginner to those looking to take their DJ skills to the next level.

The foundation is aimed at keeping the culture and concept of real DJing alive and growing in South Africa.

Respecting the history and craft of DJing as an art form, while embracing the amazing technological advances that have constantly furthered our capabilities as DJs.

If you are looking to perfect the use of industry standard hardware and software, master various mixing techniques, and get an inside look at the business, ethics and professional life of the DJ industry, then the M&M Pro DJ Academy is for you.
This course is a 6 month course, which will be 2 classes per week, on a Tuesday and Thursday, for 2 hours per class for R4 500 per month [excl.vat] with a non-refundable Registration Fee of R3 000 that secures your spot.
Which time slot suits you best for a Tuesday class ?

9am - 11am11am - 1pm1pm - 3pm
Which time slot suits you best for a Thursday class ?

9am - 11am11am - 1pm1pm - 3pm
Your Signature : *

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Registration Payment :

Please make your non-refundable registration payment of R 3 000 using the bank details below and email your proof of payment to dj@mmma.co.za | REFERENCE : DJ {your name}
Signature of Student :*

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Date : *

MonthDayYear
Date Signed
TERMS & CONDITIONS

N.B. Please make sure you fill in your details on the Terms & Conditions form and sign it.
Should be Empty:

STUDENT ENROLMENT FORM

MEDICAL & EMERGENCY INFORMATION

MEDICAL CONSENT

FULL-TIME COURSE DETAILS

Registration Payment :

TERMS & CONDITIONS