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School:*

Student Information:

Students Full Name*

Grade level:*

Specific Grade:*

Please enter full grade name eg. 5/6GS

Parent/Caregiver:

Title:*

Full Name:*

Mobile:*

Home Phone:

Address:*

Suburb:*

Post Code:*

Email*

Enter Email Confirm Email

Emergency Contact 1 : Name*

Mobile*

Emergency Contact 2 : Name

Mobile

Does your child have any medical condition that might require treatment during a lesson? yes/no (if yes is selected please provide details)*

Yes
No

Medical Condition Details*

Do you authorize Kids on Key to have access to relevant medical information if needed in the case of an emergency?*

Yes
No

Is there anything else that would be helpful for us to know about your child?*

Yes
No

Further Details*

Preferred Payment Method:*

Bank Deposit into the Kids on Key Bank Account
Cheque/Cash
Direct Debit

By clicking on the Direct Debit link you will be taken directly to the direct debit form.

Lesson Details:

Select Instrument:- St Finbar's Primary Prep*

Lesson Grouping*

Select Instrument: St Finbar's Grade 1*

Lesson Grouping*

Select Instrument: St Finbar's Grade 2*

Lesson Grouping*

Select Instrument:- St Finbar's Primary Grade 3*

Lesson Grouping*

Select Instrument:- St Finbar's Primary Grade 4*

Lesson Grouping*

Select Instrument:- St Finbar's Primary Grade 5*

Lesson Grouping*

Select Instrument: St Finbar's Primary Grade 6*

Lesson Grouping*

Select Instrument: St Mark's Prep*

Lesson Grouping*

Select Instrument: St Louis Prep*

Select Instrument: St Louis Grade 1*

Lesson Grouping*

Select Instrument - St Louis Primary Grade 2*

Lesson Grouping*

Select Instrument: St Louis Grade 3*

Lesson Grouping*

Select Instrument: St Louis Grade 4*

Lesson Grouping*

Select Instrument: St Louis Grade 5*

Lesson Grouping*

Select Instrument: St Louis Grade 6*

Lesson Grouping*

Select Instrument: St Peter's Prep*

Lesson Grouping*

Select Instrument: St Peter's Grade 1*

Lesson Grouping*

Select Instrument: St Peters Grade 2*

Lesson Grouping*

Select Instrument: St Peter 's Grade 3*

Lesson Grouping*

Select Instrument: St Peter's Grade 4*

Lesson Grouping*

Select Instrument: St Peter's Grade 5*

Lesson Grouping*

Select Instrument: St Peter's Grade 6*

Lesson Grouping*

Select Instrument: Tucker Road Prep*

Lesson Grouping*

Select Instrument: Tucker Rd Grade 1*

Lesson Grouping*

Select Instrument: Tucker Rd Grade 2*

Lesson Grouping*

Select Instrument: Tucker Rd Grade 3*

Lesson Grouping*

Select Instrument: Tucker Rd Grade 4*

Lesson Grouping*

Select Instrument: Tucker Rd Grade 5*

Lesson Grouping*

Select Instrument: Tucker Rd Grade 6*

Lesson Grouping*

Select Instrument: St Mark's Grade 1*

Lesson Grouping*

Select Instrument: St Mark's Grade 2*

Lesson Grouping*

Select Instrument: St Mark's Grade 3*

Lesson Grouping*

Select Instrument: St Mark's Grade 4*

Lesson Grouping*

Select Instrument: St Mark's Grade 5*

Lesson Grouping*

Select Instrument: St Mark's Grade 6*

Lesson Grouping*

Select Instrument: St Anne's Prep*

Lesson Grouping*

Select Instrument: St Anne's Grade 1*

Lesson Grouping*

Select Instrument: St Anne's Grade 2*

Lesson Grouping*

Select Instrument: St Anne's Grade 3*

Lesson Grouping*

Select Instrument: St Anne's Grade 4*

Lesson Grouping*

Select Instrument: St Anne's Grade 5*

Lesson Grouping*

Select Instrument: St Anne's Grade 6*

Lesson Grouping*

Select Instrument: Resurrection Grade 1*

Lesson Grouping*

Select Instrument: Resurrection Grade 2*

Lesson Grouping*

Select Instrument: Resurrection Grade 3*

Lesson Grouping*

Select Instrument: Resurrection Grade 4*

Lesson Grouping*

Preferred Lesson Time:*

In school hours
Lunch time
Snack time
After school hours*

Preferred Lesson Time:*

In school hours
Lunch time
Snack time
After school

Please select all times your child is available:

Select All
Mon 7:45 - 8:45am
Mon 3:30 – 5:30pm
Tues 7:45 - 8:45am
Tue 3:30 – 5:30pm
Wed 7:45 - 8:45am
Wed 3:30 – 5:30pm
Thur 7:45 - 8:45am
Thu 3:30 – 5:30pm

Which term do you wish to enroll in*

1
2
3
4

Instrument Provision

Instrument:*

I will provide my child with their own instrument
I would like to use an outside rental company and will arrange this independently (please feel free to contact Kids on Key for assistance here)
My child is enrolling in the abc music program where all instruments are provided by Kids on Key

Media:*

Do you give permission for Kids on Key to use photos or videos of your child for promotional material?

Yes
No

Website User Registration Details:

Username*

Password*

Enter Password Confirm Password

Strength indicator

Your password must be eight characters including one uppercase letter, one special character and alphanumeric characters.

Program Conditions

Terms & Conditions*

I have read and agree to the Program Conditions

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DECOMMISSIONED (Dec 2021) - Instrumental Program Enrolment Form - CURRENT

Student Information:

Parent/Caregiver:

Lesson Details:

Instrument Provision

Website User Registration Details:

Program Conditions

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