Student enrolment form

Please complete the form to enrol:

Terms & conditions of participation:

• Children must be dropped off and collected from the workshop space by authorised parents/guardians/care-givers
• Parents/guardians/care-givers must sign child/children in and out of each class
• All care will be taken to provide safe work practice instructions to participants
• Participants must adhere to direction of the MRAG Art Tutor
• Materials used in workshop spaces are age appropriate for each workshop
• MRAG cannot guarantee an allergen free environment
• During children’s classes we encourage students to work independently of parents/guardians/
  care-givers. Unless otherwise specified parental involvement in the class is not encouraged. MRAG aspires to be inclusive and accessible and we recognise that the individual needs of students differ and some may require additional support, we encourage you to contact MRAG to discuss individual requirements (02) 4934 9859.

Payment terms and conditions

• Bookings must be made for the full term
• Please note places are subject to availability and enrolment is not confirmed until full payment is received
• MRAG cannot refund or credit fees if the child is unable to attend one or more classes
• Fees are not transferable to another term and are non-refundable once the classes have commenced
• Should a class need to be cancelled due to insufficient student numbers, the parent or guardian
  will be notified and either offered a similar course for their child or a refund of the unused portion of the fees paid
• MRAG reserves the right to alter any arrangements for classes either before or during the term, or to cancel or terminate a class. All efforts will be made to minimise inconvenience to children and their families.

Student’s Details:

Child 1: First name 

Child 1: Surname 

Child 1: Membership Number 

Child 1: Date of birth JanFebMarAprMayJunJulAugSepOctNovDec 12345678910111213141516171819202122232425262728293031 1901190219031904190519061907190819091910191119121913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030203120322033203420352036203720382039204020412042204320442045204620472048204920502051205220532054205520562057205820592060206120622063206420652066206720682069207020712072207320742075207620772078

Child 1: Class/Activity Baby Art for 0-2 year olds and their carersPipsqueaks for 3-5 year olds and their carersArt Wednesday for 6-10 year oldsArt Thursday for 6-10 year oldsArt Tuesday for 10-18 year olds

Child 1: Term
Term 1, 2017
Term 2, 2017
Term 3, 2017
Term 4, 2017

Child 1: Does the participant have any allergies, special needs, or medical conditions: 

I give consent for the gallery to use images of my child and child’s work for promotional purposes. i.e. workshop brochures’, Gallery website, social media and newsletter. YesNo

Please send me information on future workshops and Gallery activities. YesNo

I have read, understand and agree to the terms and conditions of enrolment and payment. Yes

Parent/Guardian Details:

First Name of Parent/Guardian 

Surname of Parent/Guardian 

Email 

Street Address 

Suburb 

State NSWVICQLDWASAACTNTTAS

Post Code 

Mobile 

Home Phone 

Alternate Emergency Contact:

Alternate emergency contact person: Full Name 

Alternate emergency contact person: Mobile 

Alternate emergency contact person: Relationship to student 

Enrol:

Please note places are subject to availability and enrolment is not confirmed until full payment is received. On submission of this form a member of the MRAG team will be in touch to arrange payment. Payment can be made in person at the Gallery reception desk or credit card details can be provided via phone 4934 9859.

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