TRCM enrolment form

Billing Contact

This person will receive invoices and is responsible for payment. They must sign the declaration at the end of this form.
Full name*

First NameLast Name
Parent/CarerSelfCaseworkerOther
Email*
example@example.com
Phone number*
Please enter a valid phone number.Format: 0000-000-000.
Address*

Line 1

Line 2

SuburbState

Postcode
YesNo
Organisation name*
ABN
Contact person

Main Contact for Communication

All correspondence, excluding invoices, will be sent to this person.
YesNo
Full name*

First NameLast Name
Parent/CarerSelfCaseworkerOther
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: 0000-000-000.
Address*

Line 1

Line 2

SuburbState

Postcode

Early Childhood Music
Children 3 months to 5 years are invited to be part of our Early Childhood Music program.
Monday morningTuesday morningWednesday morningThursday morningFriday morningSaturday morningOther/None
NoYes

Confirmation of enrolment
YesNo
Do you have any comments or additional notes that are relevant to this students' enrolment?
By submitting this form, you confirm that:
- You are 18 years or older
- This form was completed by the student, or a parent/carer/organisation representative
- You have read, understood, and accepted the Terms & Conditions of Enrolment
- In an emergency, TRCM staff may seek appropriate medical assistance
- The information provided is correct
- You wish to proceed with enrolment
Signature

Clear
Should be Empty:

TRCM Enrolment Form – 2026