Enrol at Bridges to Music

Enrolment Form

Name of Child

First Name

Last Name

Name of Parent/ Guardian #1

First Name

Last Name

Name of Parent/ Guardian #2

First Name

Last Name

Address

Unit/ Number/ Street

City/ State/ Postcode

Date of Birth

DD/MM/YYYY

Phone Number

Email

Select Age Group

Preferred Class Day

Select one or more

Tuesday

Thursday

Friday

Current School

Medical Conditions

(eg Asthma) or other issues of importance (eg learning or behavioural issues) *

Comments