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ChiME enrolment

ChiME Enrolment Form

Please complete the following form to enrol for Childhood Music Education (ChiME) classes.

Enrolling Child Details

Gender *

Please number the days and times below according to preference (i.e. Tuesday am = 1). Please give at least 3 options (1=most preferred)

While every attempt will be made to accommodate specific requests no guarantees can be made.

Would you like a specific teacher?
Do you require childminding (it is a condition of the program that siblings do not attend classes)
Do you have any other requests?

Parent / Guardian / Mailing details

Parent / Guardian 1 - Please tick here if this is the main contact for billing / emergency
Would you like your accounts emailed to this address?
Parent / Guardian 2 - Please tick here if this is the main contact for billing / emergency
Would you like your accounts emailed to this address?

*

When you click the submit button you should see an acknowledgement message.
If you don't, please check the form as there may be some required information missing or incorrect.