2024 Empire Enrollment

2024 Enrolments

After enrolment you will receive a confirmation email from The Empire confirming your enrolment in classes (please note this may take a few days for processing).

Please note this is your registration ONLY. Term fees will be sent out by at the beginning of each term and can either be paud in full or through weekly payments via Ezi Debit.

If you are having any issue with enrolment, please email: theempireps@gmail.com and we will help you.
Child 1:*

First NameLast NameAge / DOBSchool & Year Group
Child 2:

First NameLast NameAge / DOBSchool & Year Group
Child 3:

First NameLast NameAge / DOBSchool & Year Group
Child 4:

First NameLast NameAge / DOBSchool & Year Group
Parent / Emergency Contact 1*

First NameLast NameEmailContact Number
Parent / Emergency Contact 2

First NameLast NameEmailContact Number
Address*

Street Address

SuburbState / Province

Post Code
Dance Experience*
Has the student had any medical history and / or allergies that The Empire should be aware of? *
Does the student need to take any medications? *

YesNo
Please specify

Please indicate below the classes you will be undertaking (You can make multiple selections for each child):
Child 1:
Child 2:
Child 3:
Child 4:
2024 Pricing and Discounts (10 week term)
An annual registration fee of $30 and needs to be paid as you enrol (please see bottom of the page) in order to cover insurance, administration and music licencing costs.

If you enrol before the New Year - You will recieve an$10 discount which will come off your Term 1 invoice.

30 min class - $13.50pw/10 week term (inc. GST)

45 min class- $16.50pw/ 10 week term (inc. GST)

60 min class - $18.50pw/10 week term (inc. GST)

STUDENT PACKAGES (Not Including Private lessons)

Package A - 2 Classes - 5% discount

Package B - 3 Classes - 10% discount

Package C - 5+ Classes - 15% Discount

FAMILY DISCOUNTS

(Calculated per family on total amount)

2 Students = 5%, 3 Students = 10%, 4 or more Students = 15%
Comments

PAYMENT for ENROLLMENT IS REQUIRED WHEN COMPLETING THIS FORM.

ON ACCEPTANCE OF ENROLMENT AN EMAIL WILL BE SENT CONFIRMING ENROLMENT THEN AN INVOICE WILL BE ISSUED FOR PAYMENT OF CLASSES.

Payment for registration per student is $30. If done before Jan 1st, $10 per student will be taken off your Term 1 invoice
Payment*

Credit Card (Invoice will be emailed to you)Cash, cheque, money order, credit card or EFTPOSElectronic Transfer
Signature

Clear
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