* Student Name
* Parent Name
* Contact Phone
* Student Age
How did you hear about us?
Date you wish to attend
* Date you wish to attend
If attending more than 1 class, please select the Monday date of that week.
Assumption of Risk:
I have read and understood the Guidelines and Policies for Bom Funk Dance Studio and hereby agree to adhere to all Guidelines and Policies. I acknowledge that I am liable for all costs incurred against me/my child. This may include additional costs for participation in workshops, competitions, performances or other events. Please enrol me/my child in the classes selected.
I understand the nature of the activities I/my child(ren) will be involved in at Bom Funk Dance Studio, the experience and capabilities required, and believe my child(ren)/self to be in good health, and in proper physical condition to participate in such activities.
I have read the "Assumption of Risk" Agreement and agree to the terms.
During tuition an instructor or assistant teacher from the School may make physical contact with the Student, in the following circumstances: (a) In order to provide instruction to the Student when demonstrating exercises or techniques. (b) Where in the reasonable opinion of the Studio, a Student requires any treatment for an injury e.g. bandage or ice pack.
I have read the "Physical Contact" Agreement and agree to the terms.
Photos/Video for Promotion:
Photos and/or video from shows, classes and performances are used to promote Bom Funk Dance Studio on posters, Bom Funk Facebook pages, Bom Funk website and other media. I permit Bom Funk to photograph and/or film class and event participation for the promotion of the studio and use images of myself/child(ren), for use in the studio, in the media and on the internet.
I have read the "Photo/Videos for Promotion" Agreement and agree to the terms.
Students are only supervised by the staff of the studio during tuition inside the studios. Appropriate drop-off and collection times must be arranged by the guardian/parent before and after tuition. Waiting areas, bathrooms and carparks are not officially supervised by staff.
I have read the "Supervision" Agreement and agree to the terms.
In any event of an accident or emergency I hereby authorise my child(ren)/self to be transported to a hospital for medical treatment and I hold Bom Funk Dance Studio and it's representatives harmless in the execution of such. Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by me or my child(ren) as a result of any injury sustained while participating at or for Bom Funk Dance Studio.
In the case of my child(ren)/self requiring medical treatment or in the case of a medical emergency, I consent to the school providing first aid or treatment and I further authorise the school, where it is impracticable to communicate with me, to arrange for him/her to receive such medical or surgical treatment as may be deemed necessary. I also undertake to pay any costs which may be incurred for the medical treatment, ambulance transport and drugs. Whilst due care is taken in the selection of dance moves and execution of steps, I am aware that there is always a risk of injury relating to participating in a physical activity.
I have read the "Medical Emergencies" Agreement and agree to the terms.
Bom Funk Dance Studio General Guidelines & Policies can be found on http://www.bomfunk.com.au/policies/.
Should you have any questions or concerns regarding our policies, please contact Bom Funk before agreeing below. Bom Funk Dance Studio may update Guidelines and Policy Documents and so agreeing to this statement implies you agree to comply with all current and future policies. Active students will be advised of any major Policy changes.
I have read the "Studio Policies" and agree to the terms.
Thank you - your trial class application is confirmed.
If for some reason the class/es chosen are not available or fully booked, we will contact you. Otherwise, we look forward to meeting you soon!