ENROLMENT FORM BABYBALLET HAMILTON CENTRAL CLASSESDAY & TIME OF CLASS*Monday (TOTS 6-18m) 9:30 amMonday (TINIES 18m-3yrs) 10:25 amMonday (MOVERS + TAPPERS 3 & 4yrs) 11:10 amThursday (TOTS 6-18m) 9:30 amThursday (TINIES 18m-3yrs) 10:25 amThursday (MOVERS + TAPPERS 3 & 4yrs) 11:10 amSaturday (TOTS 6-18m) 9:30 amSaturday (TINIES 18m-3yrs) 10:25 amSaturday (MOVERS + TAPPERS 3 & 4yrs) 11:10 amSaturday (GROOVERS + TAPPERS 4.5-6yrs) 12:15 pmPREFERRED START DATEDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920DETAILSCHILD'S FIRST NAME*CHILD'S LAST NAME*DATE OF BIRTH* DD slash MM slash YYYY GENDER* Female Male PARENT/CARER/GUARDIAN FIRST NAME*PARENT/CARER/GUARDIAN LAST NAME*PARENT/CARER/GUARDIAN ADDRESS NUMBER & STREET NAME ADDRESS LINE 2 CITY POSTAL CODE MOBILE PHONE*EMAIL* EMERGENCY CONTACTSEMERGENCY CONTACT 1RELATIONSHIPCONTACT PHONE NOEMERGENCY CONTACT 2RELATIONSHIPCONTACT PHONE NOMEDICAL REQUIREMENTS / NOTIFICATION OF ADDITIONAL NEEDSWILL YOUR CHILD NEED ADDITIONAL SUPPORT FOR ANY REASON? THE SUPPORT MAY BE FOR HEALTH OR MEDICAL REQUIREMENTS, LEARNING DIFFICULTIES OR BEHAVIOUR* YES NO IF YES, YOU WILL BE INSTRUCTED TO GIVE MORE DETAIL LATER IN THIS FORM. WE MAY REQUEST CONFIRMATION FROM YOUR CHILD’S DOCTOR THAT YOUR CHILD IS ABLE TO ATTEND THEIR CLASSES. PARENTAL NOTIFICATION OF ADDITIONAL NEEDSIt is important not to feel that this is making your child different. It is important that we put everything in place to make your child safe, well cared for and happy in class.If you have answered YES to the question above on your application form:– please provide any additional information here:SIGNATUREPhoto Consent*Occasionally we take photos/videos during class for use in our marketing and promotional materials (e.g., website, social media). By giving your consent, you agree that your child's image may be used for these purposes. I consent I do not consent I acknowledge that I am responsible for my Child’s safety at all times and will ensure that my Child is supervised by a Parent, Carer, Guardian or Authorised Minder at all times and with all babyballet® equipment where applicable.* I agree WHERE DID YOU FIND US?FacebookInstagramGoogle SearchFriends referralBabyshow NZClick below to send your enquiry(only click once!)
