Re-enrolment (existing customers)

To re-enrol, whether same class or different, complete your details on the form and click "Submit".

You will then be directed to your selected option for payment.

We will contact you (usually within 48 hours) to confirm your enrolment.

Any questions or problems with your enrolment, please phone us on (08) 8270 3847

I would like to enrol (providing there is a place available) in the following class:

Parent Information

Parent Name:*
Email:*
My contact details are the same as previously provided:
Caregiver/Nanny:	If in class.
Phone:*
Mobile Phone:
Address:*
City/Suburb:*
State:*
Postcode:*
Emergency Contact:
Emergency Phone:

Child Information

Child's Name:*

Child's Details:*

Gender:		Age:		Date of Birth

Does your child
have allergies or
medical conditions?

If yes, provide details.

Class Information

Class Location:*
Course/Curriculum:*
First Preference:*	Select location & class first
Second Preference:*
Payment Method:*	Credit cards and PayPal incur a $5 transaction fee
What method of contact do you prefer for our weekly update?
Questions/ Comments:

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Children of all ages love Kindermusik