RRS ReEnrollment

ROCKDALE RISING STARS RE-ENROLLMENT FORM
only to be completed by existing students
New Enrollments are not yet open

Student's First Name

Student's Last Name

Student's Date Of Birth

Postal Address

Parent or Guardian Name

Parents or Guardian Phone Number

Please Choose Class Applying For

13 - 18 Yrs Monday 6.00pm - 7.00pm 13th October - 16th Dec

6 - 12 Yrs Wednesday 6.00pm - 7.00pm 16th October - 18th Dec

Please note that term 4 commences on 1st week of the school term through to the final full week of the school term. Lessons are charges at 22.00 per lesson x 8 weeks ($176.00).

Please list any authorised class absentee your child had in term, these classes will be credited to term 4.

Aside from the parent listed on this sheet is there anybody else who is authorised to pick up the student from classes? If yes please list their name.

Has the student got any allergies or special requirements that our teachers should be aware of?

Emergency Contact Name

Emergency Contact Phone

I agree that by submitting this form that I am aware of the time and dates of the classes I am enrolling for. I agree that if enrolled I will be invoiced for the terms fees upfront that must be paid before the first class.

Parent or Guardian Signature

ROCKDALE RISING STARS RE-ENROLLMENT FORM only to be completed by existing students New Enrollments are not yet open

ROCKDALE RISING STARS RE-ENROLLMENT FORM
only to be completed by existing students
New Enrollments are not yet open