Mixed Ability Class Enrolment Form

During our mixed ability classes we aim to provide the safest possible learning environment for EVERYONE! To help us with this, it is important that you complete this enrolment form as accurately and as detailed as possible. This is the information we will make direct reference to in an emergency situation.

Person Submitting form

Name: 

Class option (please tick):

interACT - Drama        JOY - Dance       upriSING - Music Therapy & Instruments

 

Students Details:

Name: 

DOB:     Age:     Sex:male female

Phone: (if applicable): 

Email: (if applicable) 

 

Primary Caregiver Details

Name: 

Address:

Email:

Phone:  (home)   (mobile)

School / Organisataion Details

Name:

Primary Teacher / SENCO / Caregiver: 

Email:

Phone:  (home)  (mobile)

Note: It is the joint responsibility of the caregivers / school / organisation to determine

AND PROVIDE the level of support required by the student to participate safely and fully

during class time.

Independent Student    Supported Student

(if supported, please provide details of the level of support the student will come to class with)

Student Medical Information:

(please provide detailed information of student disabilities aand medical conditions we need to be aware of)

Billing Information:

(please tick who is to receive the billing information)

Student              Primary Caregiver              School / organisation

Class subsidy

Student has a physical / intellectual disability and would like a 50% class subsidy generously provided by Idea Services Waitaki

YES           NO

Term and Conditions: (By submitting this enrolment form you are agreeing to the terms and conditions outlined. PLEASE READ CAREFULLY)

1. Student Support: It is the joint responsibility of the caregivers, school and organisation involved with the student to ensure that they come to the class with the level of support they require to particulate fully and safely. If the student is not supported as detailed in the enrolment form, the teacher has the right to immediately exclude them from the class in action. At any time if the teacher feels that enrolled student becomes a risk to the safety of other staff member or participating students, they have to right to exclude the enrolled student from the class immediately.

 

2. Fees: A FIXED class fee is charged for all mixed ability classes. If a student is unable to attend a lesson due to illness or another commitment the Class Teacher must be notified before the lesson. Non-notified unattended lessons will not be charge. 

interACT (drama) - $8.00 or $4.00 (with disability subsidy)

JOY! (dance) - $10.00 or $5.00 (with disability subsidy)

upriSING (musical theatre) - $8.00 or $4.00 (with disability subsidy)

3. Billing / Invoicing: An account for classes attended will be sent to the billing address identified in the enrolment form at the end of each month. The Account is payable by the 20th of the following month. Fees are paid directly to Giant Leaps Speech Company.

4. Complaints / Concerns: By enrolling your child into Speech and Drama classes you are entering into an agreement with the Giant Leaps Speech Company. Concerns about any aspect of our mixed ability programme should initially directed to the teacher in charge. If your concerns are not resolved in the first instance with your child's teacher, you are advised to contact management at the Giant Leaps Speech Company. 

5. Public Holidays: There are no classes held on Public Holidays

6. Additional lessons: If additional lessons are required to bring students up to performance standard, these will be invoiced for.

7. Discontinuing Classes: if a student wished to discontinue with classes, 2 WEEKS WRITTEN NOTICE is required from the caregiver / school / organisation.  The student will continue to be charged until the notice is received.