Galilee Students Programs

Enrolment Form Term 1 - 2021

STUDENT DETAILS
NAME*
First Last
CURRENT GRADE LEVEL AT GALILEE*
The programs listed in this form are only available to students while they are currently enrolled in Galilee.
Date of Birth*
Date Format: MM slash DD slash YYYY
AGE AS AT 1 JAN 2021*
GENDER*
- MALE
- FEMALE
PHOTO ( HEADSHOT)*
A photo taken from your mobile device will suffice. Only for internal records. Max 2 MB. File formats allowed are jpg, gif, png, jpeg
Accepted file types: jpg, gif, png, jpeg.
CLASSES
ENROLMENT: BY TERM ONLY
SELECT YOUR CLASSES
PLEASE CHOOSE AGE GROUP
- UNDER 8 CLASSES
Under 8 Classes
UNDER 8 CLASSES
- HIP HOP - Thu - Lunch 1.50 – 2.30
  4 Feb – 25 Mar (8 lessons)
- SONG & DANCE - Fri - Recess 11.00 – 11.40
  5 Feb – 26 Mar (8 lessons)
Total inc GST
$ 0.00
BILLING DETAILS
PARENT OR LEGAL GUARDIAN’S DETAILS
PRIMARY EMAIL*
Please type your email twice (make sure it’s correct)
Primary email Confirm Primary email
BILLING NAME*
First Last
RELATIONSHIP TO STUDENT*
BILLING ADDRESS*
No PO box address will be accepted

Street Address CIty State Postal Code
MOBILE PHONE*
WORK PHONE
Please note all correspondence/memos are distributed by email
EMERGENCY CONTACT
Other than the person already listed as the billing contact
EMERGENCY CONTACT NAME*
First Last
RELATIONSHIP TO STUDENT*
EMERGENCY CONTACT NUMBER*
OTHER CONTACT NUMBER
EMERGENCY CONTACT EMAIL*
Enter Email Confirm Email
STUDENT MEDICAL HISTORY
If you answer YES to any of the questions below, please provide more details in the space provided below.
Have you ever suffered from any serious illness or injury?*
YES
NO
Medical condition answer
If you answered YES please provide more details:
Do you have any allergies?*
YES
NO
Medical condition answer
If you answered YES please provide more details:
Have you been hospitalised in the last 5 years?*
YES
NO
Medical condition answer
If you answered YES please provide more details:
Do you suffer from any condition that may affect your ability to participate in the dance classes safely?*
YES
NO
Medical condition answer
If you answered YES please provide more details:
Are you currently on prescribed medication?*
YES
NO
Medical condition answer
If you answered YES please provide more details:
PAYMENT METHOD
Please read the information below carefully. Once you have completed the enrolment process, we will notify you by email or phone of the exact fee due.
PAYMENT METHODS

Credit Card (Visa or Mastercard only)

Debit card & EFTPOS

Cash at reception only

Cheque
N.b DW does not issue invoices. Direct debit or EFT is not available.
IMPORTANT INFORMATION
Please check the boxes to confirm you have read, understand & agree with the terms noted below:
Pre-paid Service*
This is a pre-paid service. Payment is required prior to attending classes.
Non-Attendance Policy*
Non-Attendance Policy: Refunds or credits do not apply for non-attendance or change of mind. Exceptions may apply to circumstances where the Student becomes totally incapacitated for more than (four) 4 consecutive weeks due to serious illness or injury. The Student must supply a medical certificate confirming details of incapacitation.
Make-up classes*
Make-up classes are not available for group sessions as the programs on offer at Galilee may differ from term to term.
Swapping classes randomly*
Swapping classes randomly due to non-attendance for whatever reason is not permitted, however, the Student may request a permanent swap to another style in their age group, within the same term.
DW offers trials*
DW offers trials at $10 per style. One (1) trial only per style. Should the Student decide to proceed, a pro-rata fee for the remaining classes shall be calculated and payable prior to continuing.
COVID-19 Isolation Restrictions*
COVID-19 Isolation Restrictions: If government-imposed restrictions require us to stop face to face training, credits will be issued for any unused portion of prepaid fees, in lieu of refunds. This must be used within 6 months of issue, either through the Galilee programs or any other programs offered by DW to the general public.
Terms & Conditions
DANCE WORLD STUDIOS (DW) TERMS & CONDITIONS OF ENROLMENT*
1.FEES

1.1 All tuition fees are payable prior to commencing training. Term durations may vary, and this will be reflected in the fee.

1.2 Minimum of 10 students required for classes to proceed. DW reserves the right to cancel a class if there are less than 10 students enrolled per term and in this instance, refunds shall apply for class fees from the date of cancellation.

2. WITHDRAWALS

2.1 Students are enrolled on a term basis, however, if a student wishes to withdraw, notice is required in writing.

3. REFUNDS & CREDITS

All group class fees are non-refundable, non-transferable nor eligible for a credit, except as specified below:

3.1 WITHDRAWAL BEFORE THE TERM STARTS: full refund

3.2 The class is cancelled by DW due to insufficient enrolment: refund less any accrued classes.

3.3 Non-Attendance Policy: Refunds or credits do not apply for non-attendance or change of mind.

3.4 If the Student becomes incapacitated for four (4) consecutive weeks, due to serious illness or injury, a credit will be issued for any unused portion of prepaid fees. The Student must supply a medical certificate confirming total incapacitation.

3.5 COVID-19 Isolation Restrictions: If government-imposed restrictions require us to stop face to face training, credits will be issued for any unused portion of prepaid fees, in lieu of refunds.

3.6 If a student is required by law to quarantine and therefore miss classes, the student will be eligible for a credit under this circumstance.

3.7 Credits must be redeemed within 6 months from date of issue, either through the Galilee programs or any other programs offered by DW to the general public.

4. COVIDSAFE POLICIES

Students must adhere to DW's COVIDsafe policies:

4.1 Submit to a temperature check. If the student's temperature exceeds 37.5 (after the 2nd check), the student will not be allowed to do the class on that day

4.2 Sanitise upon entry and regularly

4.3 Maintain social distancing

4.4 Galilee adult staff supervising the children must wear masks while in the premises

4.5 If the student is sick, required to quarantine, recently travelled overseas or has been in contact recently with somebody who tested positive for coronavirus, please do not attend classes

4.6 Parents or friends are not permitted in DW. During the pandemic, only authorised Galilee personnel and the students may enter the building.

5. GENERAL RULES

5.1 Students must wear comfortable sports or dance gear to classes, bring a towel and water bottle to class.

5.2 Class times advertised include travel time to and from Galilee.

5.3 Students must notify DW of any injuries sustained prior to class commencing each time.

5.4 Parents are not permitted in the classroom except on Open Days. Classes can be observed through glass windows.

5.5 All patrons and guests are required to keep the DW premises neat and orderly.

5.6 All patrons will be responsible for their own goods & property. DW will not be liable for any loss or damage to any person's property. Uniform or any belongings left in the studio is not the responsibility of DW. Please label everything.

5.7 Students who are disruptive or disrespectful towards their teachers, other students and DW staff will be asked not to participate in class.

5.8 All patrons and their guests shall indemnify DW for any loss or damage to DW’s property caused directly or indirectly by the patron and / or their guest.

5.9 DW shall not be liable for any injury sustained by a student or patron whilst participating in a class and/or attending the premises of DW.

5.10 From time to time, substitute teachers may conduct the classes without prior notice, instead of the regular teacher.
I have read and agree to the Terms & Conditions of the Enrolment Form.
Comments
Signature*
Please sign in the box area below.
You can draw your signature on any touch or non-touch device. On desktop computers, you can use your mouse or trackpad.
Reset
NAME OF PERSON WHO COMPLETED THIS FORM*
First Last
DATE COMPLETED
Date Format: DD slash MM slash YYYY
N.b only a parent or legal guardian is allowed to complete the Enrolment Form for students under 18 years of age.
CAPTCHA
Name
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