SUPERSTARZ: ALL ABILITIES NEW STUDENT ENROLMENT 2021

SUPERSTARZ: ALL ABILITIES NEW STUDENT ENROLMENT 2021

KREATIONZ CHEER AND DANCE
Kreationz SuperStarz: All Abilities dance classes for people with additional needs are full of fun. fitness and friends!.

The SuperStarz program offers all inclusive dance classes for children and adults with disabilities. We provide a fun and confidence building environment where everybody can dance!

Please fill in the form below to enrol for 2021 classes as a NEW STUDENT in Kreationz SUPERSTARZ: ALL ABILITIES program. If you have any difficulties with this form please call 0422 413 167.

IMPORTANT NOTE: Due to current COVID-19 restrictions, 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 generally within three business days upon completion of this form (longer during school holidays). Our Terms and Conditions document is required to be signed and returned by your first class.

PLEASE NOTE: THE FERNTREE GULLY STUDIO HAS 11 STAIRS TO CLIMB.
MAIN ACCOUNT HOLDER DETAILS

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

First Name Last Name
Relationship to Student *
Postal Address *

Street Address

Street Address Line 2

Suburb State

Post Code
E-mail *
Mobile *
Home Phone

Area Code Phone Number

ADDITIONAL PARENT OR GUARDIAN DETAILS
Additional Parent or Guardian Name *

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

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

First Name Last 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 student Previous student
Gender *

Female Male
Student Name *

First Name Last Name
Date of Birth *

Day Month Year
Date

MEDICAL INFORMATION AND CONSENT

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.
Please list your child's disability along with 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
Please list any information that could assist us in our teaching such as motivators, behaviour strategies, communication etc *
Do you consent to Kreationz staff giving your child/ren a bandaid if necessary? *

Yes No
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

CLASS ENROLMENT

Please note: all classes are held at Kreationz Ferntree Gully studio which has 11 stairs to climb.
Please tick one or more classes below to enrol in a SuperStarz class: *

Monday 11:25 – 11:55am SuperStarz All Abilities: Movement to Music for children with additional needs (2 – 5 years with carer) Friday 4:00 – 4:30pm SuperStarz All Abilities: Movement to Music for children with additional needs (5 – 10 years with or without carer) Friday 4:30 – 5:15pm SuperStarz All Abilities: Jazz and Hip Hop for children with additional needs (11 years and over with or without carer) Friday 5:15 – 5:45pm SuperStarz All Abilities: Ballet and Lyrical for children with additional needs (11 years and over with or without carer)
Would you like to enroll another student? *

Yes No

STUDENT 2 DETAILS
Student Status *

New Student Previous Student
Gender *

Female Male
Student Name *

First Name Last Name
Date of Birth *

Day Month Year
Date
Please list your child's disability along with 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
Please list any information that could assist us in our teaching such as motivators, behaviour strategies, communication etc *

STUDENT 2 CLASS ENROLMENT

Please note: all classes are held at Kreationz Ferntree Gully studio which has 11 stairs to climb.
Please tick one or more classes below to enrol in a Mainstream class: *

Monday 11:25 – 11:55am SuperStarz All Abilities: Movement to Music for children with additional needs (2 – 5 years with carer) Friday 4:00 – 4:30pm SuperStarz All Abilities: Movement to Music for children with additional needs (5 – 10 years with or without carer) Friday 4:30 – 5:15pm SuperStarz All Abilities: Jazz and Hip Hop for children with additional needs (11 years and over with or without carer) Friday 5:15 – 5:45pm SuperStarz All Abilities: Ballet and Lyrical for children with additional needs (11 years and over with or without carer)

MID YEAR MINI REVIEW

The Mid Year Mini Review is a fun and laid back event which gives the students an opportunity to perform in an informal setting.

With no costumes and lots of fun, it's an event not to be missed!

BONUS: Two free tickets are included for every student who selects a Showcase Package!

The Mid Year Mini Review will be held on Sunday the 6th of June, 2021.
Please select one of the following options *

Yes, we will be participating in the Mid Year Mini Review No, we will not be participating in the Mid Year Mini Review
SHOWCASE PARTICIPATION AGREEMENT

By selecting an option below you indicate your intention for yourself/your child/ren to participate in the End of Year Showcase. By selecting 'Yes' you agree to the following Terms and Conditions:

You will be available for the period of the 20th to the 28th of November 2021 for rehearsals and performances.

You must select either the Shine, Sparkle or Dream Showcase Package (see Fee Schedule on next page).

Students who join part way through the year and who wish to participate in the Showcase will be required to pay a one-off "catch up" payment for any Terms prior to enrolment. Eg. Enrolments in Term 2 will be required to pay the Term 1 and Term 2 Showcase package installments.

Should you/your child/ren commence another class throughout the year, it will be assumed that your child/ren is participating in the Showcase for that class and you will be liable for the full costume cost, unless otherwise notified at the time of enrolment.

Should you/your child/ren be unable to participate in the Showcase and we are notified NO LATER than the 30th of June, 2021, your costume payments will be credited towards your next Term's fees.

No refunds or credits will be offered should we be notified later than the 30th of June, 2021. By selecting 'Yes' below you agree to be liable for the full amount of all costume purchase fees if you change your mind after the 30th of June, 2021.

Should you select 'No' and you change your mind before the 30th of June, 2021, you/your child/ren may still be able to participate in the Showcase provided a costume can be ordered for them. Should this occur, the costume levy will be required to be paid immediately.
Please select one of the following options *

Yes, we will be participating in the End of Year Showcase No, we will not be participating in the End of Year Showcase

SHOWCASE PACKAGE SELECTIONS

Please select your Showcase Package from the options below.

Please note the Sparkle and Shine packages include two discounted tickets to our Annual Christmas Ball.

The 2021 Christmas Ball will be held on Saturday the 11th of December at approximately 12:30pm.
Please select a Showcase Package (refer to Fee Schedule above for details) *

Dream Package Sparkle Package Shine Package
One Showcase DVD is included per FAMILY. Would you like to upgrade to a USB for $8.00? *

Yes, upgrade to USB No upgrade required

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 installments by Integrapay Direct Debit. 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 credit cards attract a 1.98% plus $0.33 fee for Visa and Mastercard and a 3.85% plus $0.33 fee for Amex.

Please refer to the Fee Schedule for tuition prices.
Please select your preferred payment option *

Funding - a service authorisation from the funding body must be presented before the student can commence classes 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 - 6 weeks upfront initial payment then monthly payments - NO DISCOUNT) Upfront for the year (15% discount on TUITION - NO REFUNDS) - discount applies to Semester 1 enrolments only
If you have selected the funding option, please provide contact details of the funding body
MEMBERSHIP FEE PAYMENT

The below credit card payment is for your Membership fee and any additional uniform items you have selected. Your Tuition will be deducted from your account upon filling out the Integrapay Direct Debit authorisation at the completion of this form.

NOTE: The first tuition installment will be deducted on the 21st of January, 2021.

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

Membership Fee/Add-Ons *

AUD Includes GST

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Promotional Code

TERMS AND CONDITIONS AND COVID-19 SAFETY POLICY

In order to commence classes at Kreationz the Terms and Conditions document must be signed and returned upon enrolment. The Terms and Conditions and COVID-19 Safety Policy 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 Integrapay 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.
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