2024 EMERALD NEW STUDENT ENROLMENT

2024 EMERALD STUDIO - MAINSTREAM NEW STUDENT ENROLMENT

KREATIONZ CHEER AND DANCE
Please fill in the form below to enrol for 2024 classes as a NEW STUDENT in Kreationz MAINSTREAM program at the EMERALD studio. If you have any difficulties with this form please press SAVE and call 0422 413 167.

IMPORTANT NOTE: Class numbers are strictly limited. Enrolments will be taken on a first in, best dressed basis. In order to hold your child's position in your selected class/es, the non-refundable membership fee is payable upon completion of this form securely via credit card. Upon completion of this form you will be required to fill out the direct debit authorisation form (the link will be in your confirmation message). You will be emailed a full confirmation upon completion of this form. Our Terms and Conditions document is required to be signed and returned by your first class.

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To enrol for other programs, please click the link/s below:

READY SET DANCE / READY SET BALLET enrol here

MINI & ME / MINI MOVERZ enrol here

SUPERSTARZ ALL ABILITIES enrol here

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MAIN ACCOUNT HOLDER DETAILS

The Main Account Holder is the person responsible for:
- Paying fees
- Receiving information
Account Holder Name*

First NameLast Name
Relationship to Student*
Postal Address*

Street Address

Street Address Line 2

SuburbState

Post Code
E-mail*
Mobile*
Home Phone

Area CodePhone Number

ADDITIONAL PARENT OR GUARDIAN DETAILS
Additional Parent or Guardian Name*

First NameLast Name
Relationship to Student*
E-mail*
Mobile*

OPTIONAL ADDITIONAL EMERGENCY CONTACT DETAILS
(Other than parent/guardian listed previously)
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Relationship to Student

ADDITIONAL INFORMATION
How did you find out about Kreationz?*
If you found us online please list the website
If you were referred by a friend please list their name

STUDENT DETAILS
Student Status*

New studentPrevious student
Gender*

FemaleMaleOther
Student Name*

First NameLast Name
Preferred Name to be called (if applicable)
Date of Birth*

DayMonthYear
Date
Student's Mobile Phone
Student's E-mail
Please list any previous dance training including styles, number of years and studio

MEDICAL INFORMATION AND CONSENT
Please list any allergies, medications or medical conditions, including action to be taken (if applicable)
If this student has an Anaphalaxis or Asthma Management Plan, or any other relevant documentation please attach it here

Upload a File

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Do you consent to Kreationz staff giving your child/ren a bandaid if necessary?*

YesNo
Medical Emergency Acknowledgement*

I acknowledge that in case of medical emergency, an ambulance will be called for my child/myself, if deemed necessary by Kreationz staff
Do you consent to your child/ren being photographed/videoed in class for the promotion of students' achievements in our parent newsletters, website, and/or social media*

YesNo

STUDENT 2 DETAILS
Student Status*

New StudentPrevious Student
Gender*

FemaleMaleOther
Student Name*

First NameLast Name
Preferred Name to be called (if applicable)
Date of Birth*

DayMonthYear
Date
Student's Mobile Phone
Student's E-mail
Please list any previous dance training including styles, number of years and studio
Please list any allergies, medications or medical conditions, including action to be taken (if applicable)
If this student has an Anaphalaxis or Asthma Management Plan, or any other relevant documentation please attach it here

Upload a File

Cancelof

STUDENT 3 DETAILS
Student Status*

New StudentPrevious Student
Gender*

FemaleMaleOther
Student Name*

First NameLast Name
Preferred Name to be called (if applicable)
Date of Birth*

DayMonthYear
Date
Student's Mobile Phone
Student's E-mail
Please list any previous dance training including styles, number of years and studio
Please list any allergies, medications or medical conditions, including action to be taken (if applicable)
If this student has an Anaphalaxis or Asthma Management Plan, or any other relevant documentation please attach it here

Upload a File

Cancelof

STUDENT 4 DETAILS
Student Status*

New StudentPrevious Student
Gender*

FemaleMaleOther
Student Name*

First NameLast Name
Preferred Name to be called (if applicable)
Date of Birth*

DayMonthYear
Date
Student's Mobile Phone
Student's E-mail
Please list any previous dance training including styles, number of years and studio
Please list any allergies, medications or medical conditions, including action to be taken (if applicable)
If this student has an Anaphalaxis or Asthma Management Plan, or any other relevant documentation please attach it here

Upload a File

Cancelof

SHOWCASE PACKAGE SELECTIONS

Please select your Showcase Package from the options below.
Please select a Showcase Package (refer to Fee Schedule above for details)*

Dream Package - most popularSparkle PackageShine Package
If your child is participating in a Pre-Primary or Pre-Junior Jazz and/or Tap class, a wiglet will be required for the Showcase. Do you wish to add a wiglet to your package for $10 per term (total of $40)?*

Yes, add wigletNo wiglet required (already purchased, or student is over 9 years old)

TERMS AND CONDITIONS

In order to commence classes at Kreationz the Terms and Conditions document must be signed and returned upon enrolment. The Terms and Conditions can be downloaded here.
Please sign here to indicate your agreement to the Terms and Conditions*

Clear
Acknowledgement*

Yes, I acknowledge that my place in the selected classes will only be held upon payment of the non-refundable membership fee. I understand that I must complete either an authorisation of the Payrix Direct Debit form (which is available upon completion of this form) or pay my fees in full via invoice, before I can commence my classes.

PAYMENT OPTIONS

In order to hold your child's position in your selected class/es, the non-refundable Membership fee is payable upon completion of this form securely via credit card.

All Tuition and Showcase fees are payable in advance on a monthly, quarterly or half-yearly basis, via instalments by Payrix Direct Debit. If you do not currently have a Payrix account with Kreationz, a Direct Debit authorisation form is required to be completed once your enrolment is confirmed.

Payments can be deducted from either a financial institution or from a credit card. Please note that bank accounts attract a $0.94 fee. Credit cards attract a 2.12% plus $0.35 fee for Visa and Mastercard. A one off $2.20 data storage fee is charged for all new families.

Please refer to the Mainstream Fee Schedule and Dance Cirque Fees Schedule for tuition prices.
Please select your preferred payment option*

Half Yearly Direct Debit (pay by the Semester - 2 payments - 10% discount)Quarterly Direct Debit (pay by the Term - 4 payments - 10% discount)Monthly Direct Debit (pay by the month - 5 weeks upfront initial payment then monthly payments - NO DISCOUNT)Upfront for the year (10% discount on TUITION - NO REFUNDS)
MEMBERSHIP FEE PAYMENT

The below credit card payment is for your Membership fee and any additional uniform items you have selected. Your Tuition and Showcase/Display fees (if applicable) will be deducted from your account upon filling out the Payrix Direct Debit authorisation at the completion of this form.

NOTE: The first tuition instalment will be deducted on the 22nd of January, 2024.

PLEASE NOTE YOUR ENROLMENT IS NOT CONSIDERED FINALISED UNTIL THE DIRECT DEBIT AUTHORISATION HAS BEEN COMPLETED. YOUR CLASSES WILL NOT BE HELD WITHOUT THIS AUTHORISATION.
Total Amount

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Comments
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If you have any issues with this form, please press SAVE and call the Kreationz office on 0422 413 167.

Please note that this form can only accept credit cards (no debit cards).
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2024 EMERALD STUDIO - MAINSTREAM NEW STUDENT ENROLMENT

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