2024 KREATIONZ TRIAL BOOKING FORM - SUPERSTARZ: ALL ABILITES

2024 KREATIONZ TRIAL BOOKING FORM - SUPERSTARZ: ALL ABILITIES
The SuperStarz: All Abilities class is for children and adults with additional needs only. Prospective SuperStarz: All Abilities students are entitled to one no obligation trial class free of charge.

Please note our studio is upstairs and unfortunately does not have lift access.

OTHER PROGRAMS

Please click the link/s below to trial Kreationz other programs

MAINSTREAM CLASSES Book trial

MINIS PROGRAM AND READY SET PROGRAM Book trial

DANCE CIRQUE Book trial

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Please fill in the form below to reserve your child's place. You will be emailed a confirmation directly after your booking.

If you have any difficulties with this form please please press SAVE and call 0422 413 167.
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*
E-mail*
Mobile*
Postal Address*

Street Address

Street Address Line 2

SuburbState

Post Code

MEDICAL INFORMATION AND CONSENT

We are so excited to meet you, but before we do, we would love to get to know you, and so we kindly ask you to answer the following questions to ensure that we can maximise the amount of fun right from the get-go!

Please note: Depending on the student's ability, a carer may need to be present in the studio. This will be discussed with you upon enrolment.
Who will be accompanying your child to their class? Please list name and relationship to your child*
Please list your child's disability along with any allergies, medications or medical conditions, including action to be taken (if applicable)*
If applicable, please list any personal care requirements that we may need to be aware of, or assist with, during your time at Kreationz
If applicable, please list anything your child might struggle with sometimes
If applicable, please list any sensory needs that your child has
If applicable, please list some of the things that help your child to calm down
If the student has an Anaphalaxis or Asthma Management Plan, or any other relevant documentation please attach it here

Browse Files

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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 necessary.

TRIAL CLASS SELECTION - FERNTREE GULLY

Please select the class/es you would like to book your no obligation trial for.

We operate in school terms commencing the 29th of January 2024.

PLEASE NOTE: Class numbers are strictly limited. If there is no room in your chosen class/es, an alternative will be offered.
Please select the date you wish to attend the trial class.*

DayMonthYear
Date
Class Selection*

FERNTREE GULLY Friday 4:45 – 5:15pm SuperStarz All Abilities – for children with additional needs (5 – 10 years with or without carer)FERNTREE GULLY Friday 5:15 – 6:00pm SuperStarz All Abilities – for children with additional needs (11 years and over with or without carer)FERNTREE GULLY Friday 6:00 – 6:45pm SuperStarz All Abilities – for children with additional needs (16 years and over with or without carer)

TERMS AND CONDITIONS

In order to commence classes with Kreationz, the Terms and Conditions must be read, understood and agreed to.

The Trial Booking Terms and Conditions can be downloaded here.
Please sign here to indicate your agreement to the Terms and Conditions*

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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.
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2024 KREATIONZ TRIAL BOOKING FORM - SUPERSTARZ: ALL ABILITIES