Music Mayhem Enrolment 

The Small Print :)

1. Classes are billed by the term. Missed lessons must still be paid for unless alternative arrangements have been made with Directors of Music Mayhem For Rockers.

1.1. 48 hours notice must be given for missed private lessons. Missed private lessons must still be paid for unless alternative arrangements have been made with Music Mayhem For Rockers.

2. I authorise Music Mayhem For Rockers to seek medical assistance in the case of emergency and agree to cover all medical costs incurred as a result.

3. I acknowledge that Music Mayhem For Rockers will make every effort to contact me in the case of an emergency.

4. I acknowledge that Music Mayhem For Rockers does not conduct rehabilitation classes. I acknowledge classes are for general physical and mental wellness.

5. I also indemnify Music Mayhem For Rockers and staff and volunteers against any personal loss or injury which may occur as a result of attending Music Mayhem For Rockers. I take full responsibility for the actions of the above student at any and all times on the premises at any performance / rehearsal premises hired / rented by Music Mayhem For Rockers.

6. I acknowledge that Music Mayhem For Rockers and its teachers and volunteers are not responsible for the whereabouts or actions of the above student at any time.

7. I give permission for any photos/videos taken of the above student to be used for Music Mayhem For Rockers publicity purposes.

8. I acknowledge that due to privacy and child protection laws only persons authorised by Music Mayhem For Rockers are permitted to capture images of Music Mayhem For Rockers students; the only exception to this is when express written consent has been granted by the student’s parent/guardian.

10. I acknowledge that all outstanding accounts will incur a late fee of $55.00. If accounts are outstanding from previous term, Music Mayhem For Rockers will take legal action and interest will be incurred on top of outstanding balance.

11. I agree to paying an Enrolment fee of $20.00 per student annually.


I/We the undersigned person/s understand and accept the above terms, & have read & agreed to the conditions & rules as detailed in this document. We understand that all students are enrolled and billed by the term regardless of the number of classes attended during that term. Fees are non-refundable. Students may be excluded from classes if accounts are not paid in full prior term commencement. Music Mayhem For Rockers reserves the right to exclude any student and/or family from attending classes. Further charges will be incurred if accounts have to be submitted to our collections agency.

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Email *
Rocker's Family Name  *
Rocker's Address *
Multiple Rocker's *
Required
Rocker 1 *
Name and Age
What Rock Out Moment/s are you enrolling in? *
Rocker 1 
Required
Rocker 2
Name and Age?
What Rock Out Moment/s are you enrolling in? *
Rocker 1 
Required
Rocker 4
Name and Age?
Guardian Name *
Guardian Contact Number  *
Guardian Email  *
Emergency Contact Name 

*
This person will be contacted only if the guardian is unreachable
Emergency Contact Number 

*
This person will be contacted only if the guardian is unreachable
Is there anything we should know? 

Does your Rocker/s have any cognitive challenges or require any additional support? We care about providing an inclusive space and would love to work with you on understanding your Rocker's needs.
Payment. 

An Invoice will be sent to you via email. At this stage payments are required electronically. 

For Littlest Rocker drop in session, an electronic point of sale will be available.

By checking the box below, you agree to these terms. 

*
Required
Agreement.

By submitting your name below as an electronic signature, you hereby give permission for your child/children stated above to attend Music Mayhem for Rockers. You also agree to the fine print stated on this page regarding all things payment, insurance, privacy and attendance etc.
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A copy of your responses will be emailed to the address you provided.
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