Open Age Jazz Intensive

Monday, 20 January 2020 9:00 am 09:00
Wednesday, 22 January 2020 3:30 pm 15:30

Melbourne Dance Centre 75 Weston Street Brunswick, VIC, 3056 Australia (map)

Google Calendar ICS

PLEASE NOTE: THIS REGISTRATION FORM NEEDS TO BE COMPLETED IN TWO PARTS.

1 - Fill out the registration form first and click REGISTER.
2 - After this is completed choose your payment option at the base of the page then click MAKE PAYMENT.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

Date Of Birth

YYYY

Age as at January 1 2020

Gender

Pricing Options

To apply for a discount rate you will need to send proof of enrolment/membership to info@melbournedancecentre.com where applicable.

Do you suffer from any serious ailment or injury?

Have you recently been hospitalised?

Do you suffer from any allergies?

Are you taking any for of prescribed medication?

Is there any other reason that may prevent you from fully participating in the program?

If you answered YES to any of the questions above, please provide more details:

Do you have ambulance cover?

Most recent/current training school/program

Director/Principal

Jazz training/experience

Ballet training/experience

Terms & Conditions

REFUND POLICY A) Applicants shall be entitled to a refund under the following circumstances: 1. Written notice of withdrawal from the program received prior to 13 January 2020 will incur a cancellation fee of $50. 2. Notices of withdrawal received after 13 January 2020 shall not be eligible for any refund. 3. Total incapacitation due to medical reasons after Jan 13 and prior to Jan 20 2019, which is to be supported by a detailed medical certificate, will incur a cancellation fee of $100, regardless of age. 4. Should any of the programs be cancelled due to insufficient numbers, students shall be entitled to a full refund. 5. Advanced notice in writing is required for any applications for refunds. No refunds will be considered after the completion date of each program. B) Fees are non-transferable to another person or deferrable to another date. C) Partial refunds shall not be issued for non-attendance. D) Non transferable to other training. This applies to other holiday workshops and general class fees. DECLARATION I/We, the undersigned person/s, understand and accept the terms and conditions of enrolment.   I/We warrant that the student is physically fit and able to participate in the holiday workshop. I/We acknowledge that at all times while the student is on the Melbourne Dance Centre (MDC) premises, the student is responsible for his/her property and in attending classes is participating at his/her own risk. I/We agree and acknowledge that MDC reserves the right to solely determine the appropriate class / group appointment for each student. In consideration of Melbourne Dance Centre accepting this application and providing the services to the student, I/We agree to release and indemnify MDC, its officers, employees and contractors from and against any claim, demand or liability for any injury, loss or damage whatsoever and howsoever caused.  In the case of an emergency, I (student over 18 or parent legal guardian) authorise MDC to seek medical assistance, including ambulance costs, if necessary and I agree to cover any costs incurred.

Do you accept the above Terms & Conditions?

* I am over the age of 18 years

PLEASE CLICK THE REGISTER BUTTON ABOVE BEFORE MAKING PAYMENT BELOW.

Source:: http://melbournedancecentre.com/open-age-jazz-intensive

Open Age Jazz Intensive

PLEASE NOTE: THIS REGISTRATION FORM NEEDS TO BE COMPLETED IN TWO PARTS.

PLEASE CLICK THE REGISTER BUTTON ABOVE BEFORE MAKING PAYMENT BELOW.

Opening Hours

1pm – 9pm Monday to Thursday
9am – 3pm Weekends
* Box Office opens 1 hour prior to performances

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Open Age Jazz Intensive

PLEASE NOTE: THIS REGISTRATION FORM NEEDS TO BE COMPLETED IN TWO PARTS.

PLEASE CLICK THE REGISTER BUTTON ABOVE BEFORE MAKING PAYMENT BELOW.

Opening Hours

1pm – 9pm Monday to Thursday9am – 3pm Weekends* Box Office opens 1 hour prior to performances

—

1pm – 9pm Monday to Thursday
9am – 3pm Weekends
* Box Office opens 1 hour prior to performances