Online Enrolment

Thanks for choosing Mini Mozarts! Please review our Terms and Conditions before signing and submitting this form.

Student(s) Details

You can add more students by clicking the + icon after completing each student's details.
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First Name
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Last Name
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Date of Birth
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  • Instrument(s)
  • Piano
  • Guitar/Bass/Uke
  • Drums
  • Vocal
  • Violin/Viola
  • Flute
  • Clarinet
  • Saxophone
  • Band or Group
  • Other
Instrument(s)
You must select an instrument.
You must select an instrument.
  • Lesson Day
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
Lesson Day
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Lesson Time
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List any prior experience here.
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List any other relevant information here such as allergies or learning difficulties.
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Add Another Student
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Student 18+/Parent/Guardian Details

We require the details of at least one PARENT/GUARDIAN who will take full responsibility for the student and guarantee payment. If the student is 18+, the student can sign this section.

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First Name
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Last Name
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Email Address
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Phone
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Date of Birth
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ID eg: Drivers Licence Number
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Address
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I certify that the above information is true and correct. I have read and understand all the TERMS AND CONDITIONS (overleaf or attached) of Mini Mozarts School of Music which form part of, and are intended to be read in conjunction with this Enrolment Form and agree to be bound by these conditions. I authorise the use of my personal information as detailed in the Privacy Act clause therein.

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Signature
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Add Another Parent/Guardian
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Emergency Contacts

Do not include Parent(s) and/or Guardian(s) name/s listed above.

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Name
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Relationship to Child
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Phone
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Add Another Emergency Contact
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Guarantee

If the guarantor is someone other than a parent/guardian above, please specify.

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  • Who Is The Guarantor?
  • Guarantor Is Parent/Guardian
  • Guarantor Is Third Party
Who Is The Guarantor?
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First Name
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Last Name
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Date of Birth
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ID eg: Drivers Licence Number
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Address
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If I execute this contract as the person responsible for payment on behalf of the Parent(s)/Guardian(s), I guarantee the due and punctual payment of all monies payable under this contract. This Guarantee and Indemnity shall constitute an unconditional and continuing guarantee and indemnity and accordingly shall be irrevocable and remain in full force and effect until the whole of moneys owing to Mini Mozarts School Of Music by the Parent(s)/Guardian(s) and all obligations herein have been fully paid satisfied and performed.

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