Enrollment Form - Blue Coral Petals Art School

Child's Information:

Full Name & Surname*

Age*

Gender*

Parent/Guardian Information:

Full Name & Surname*

Contact Number*

E-mail*

School Information:

School Name*

School Grade*

Pottery Project Details

Project Location*

Project Date*

Project Date

Emergency Contact Information:

Full Name & Surname*

Contact Number*

Medical Information:

Does your child have any medical conditions we should be aware of?

Is your child allergic to any materials?

Consent and Authorization:

I hereby grant permission for my child to participate in the pottery project. I understand that Blue Coral Petals will take reasonable care to ensure my child's safety and well-being during the project.

Photo Permission:

I grant permission for Blue Coral Petals to take and use photographs of my child for the following purposes: Promotional materials (e.g. social media, website, flyers) Newsletters and press releases Displaying in-studio or at events*

Payment Details:

- Total Fee: R580 per month (Term Fee: R780)

- Payment Method:

- EFT (Electronic Funds Transfer)

- Credit Card

- Payment Terms:

- Payment is due on the 1st of each month

- A late payment fee of R50 will be charged for payments received after the 5th of the month

Banking Details:

- Bank Name : First National Bank

- Branch Code : 201109

- Account Number : 63037936763

- Account Holder : Blue Coral Petals (Pty) Ltd

- Reference : Child's name and surname

Additional Comments/Notes:

Any additional comments/notes can be submitted here

Acknowledgement

I hereby confirm that I have read, understood and agree to the terms and conditions of the Blue Coral Petals (Pty) Ltd, Pottery Project, and I acknowledge that all fees paid are non-refundable.