Bom Funk Dance Studio

If you already have a Parent Portal account, please visit the logon page.

Please indicate your registration type:

I am a student enrolling in classes at Bom Funk Dance Studio.

I am a parent/guardian and I am enrolling my children in classes.

I would also like to be able to enroll in classes.

Please enter in your name and mailing address:

Parent First Name:

Parent Last Name:

Address 1:

Address 2:

City:

State/Province:

Zip/Postal Code:

Please enter in your contact information:

Email Address 1:

You will use this email address to log into the Bom Funk Dance Studio Business Portal.

Email Address 2:

Phone 1:

Phone 2:

Phone 3:

Please complete the 'Family Member' section below to register your child's details:

NOTE: Student's enrolling themself must be over 18. If you are a student enrolling yourself, do not fill out the 'Family Member' section below-you can add additonal details in your account after registering (otherwise you will create 2 accounts in your name)

Family Member #1:

First Name:

Last Name:

Allergies:

Special Needs:

Birth Date:

School:

Gender:

Emergency Contact:

Emergency Phone:

Medical Conditions:

How did you hear about us?:

Family Member #2:

First Name:

Last Name:

Allergies:

Special Needs:

Birth Date:

School:

Gender:

Emergency Contact:

Emergency Phone:

Medical Conditions:

How did you hear about us?:

Family Member #3:

First Name:

Last Name:

Allergies:

Special Needs:

Birth Date:

School:

Gender:

Emergency Contact:

Emergency Phone:

Medical Conditions:

How did you hear about us?:

Family Member #4:

First Name:

Last Name:

Allergies:

Special Needs:

Birth Date:

School:

Gender:

Emergency Contact:

Emergency Phone:

Medical Conditions:

How did you hear about us?:

Please enter in a password to access the Parent Portal:

Password:

Confirm Password:

Please enter in the characters below so we know that you are a real person:

Data Validation:

This section must be sighted and agreed upon by the parent/guardian of the student if the student is under the age of 18 years.

Assumption of Risk:

I have read and understood the Guidelines and Policies for Bom Funk Dance Studio and hereby agree to adhere to all Guidelines and Policies. I acknowledge that I am liable for all costs incurred against me/my child. This may include additional costs for participation in workshops, competitions, performances or other events. Please enrol me/my child in the classes selected.

I understand the nature of the activities I/my child(ren) will be involved in at Bom Funk Dance Studio, the experience and capabilities required, and believe my child(ren)/self to be in good health, and in proper physical condition to participate in such activities.

I have read the "Assumption of Risk" Agreement and agree to the terms.

Physical Contact:

During tuition an instructor or assistant teacher from the School may make physical contact with the Student, in the following circumstances: (a) In order to provide instruction to the Student when demonstrating exercises or techniques. (b) Where in the reasonable opinion of the Studio, a Student requires any treatment for an injury e.g. bandage or ice pack.

I have read the "Physical Contact" Agreement and agree to the terms.

Photos/Video for Promotion:

Photos and/or video from shows, classes and performances are used to promote Bom Funk Dance Studio on posters, Bom Funk Facebook pages, Bom Funk website and other media. I permit Bom Funk to photograph and/or film class and event participation for the promotion of the studio and use images of myself/child(ren), for use in the studio, in the media and on the internet.

I have read the "Photo/Videos for Promotion" Agreement and agree to the terms.

Supervision:

Students are only supervised by the staff of the studio during tuition inside the studios. Appropriate drop-off and collection times must be arranged by the guardian/parent before and after tuition. Waiting areas, bathrooms and carparks are not officially supervised by staff.

I have read the "Supervision" Agreement and agree to the terms.

Payment Policies:

Bom Funk Dance Studio Fee Policies can be found on https://www.bomfunk.com.au/fees/

Should you have any questions or concerns regarding our policies, please contact Bom Funk before agreeing below. By submitting this form you are committed to the classes you have chosen (as we have secured your spot). Therefore full Term fee payments will be charged and are due by the start of term or before the dancer starts their first classes, if starting after week one (excluding trial classes).

If you require a Payment Plan please complete the Ezidebit Payment Application form before the due date. If you require an extension due to special circumstances please contact accounts@bomfunk.com.au.

If you decide to cancel your enrolment after attending your 1st class, you have 1 week from the date of the attended class to request in writing a full refund or a transfer to a different class. After this time there are no fee refunds permitted.

I have read the "Payment Policies" and agree to the terms.

Medical Emergencies:

In any event of an accident or emergency I hereby authorise my child(ren)/self to be transported to a hospital for medical treatment and I hold Bom Funk Dance Studio and it's representatives harmless in the execution of such. Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by me or my child(ren) as a result of any injury sustained while participating at or for Bom Funk Dance Studio.

In the case of my child(ren)/self requiring medical treatment or in the case of a medical emergency, I consent to the school providing first aid or treatment and I further authorise the school, where it is impracticable to communicate with me, to arrange for him/her to receive such medical or surgical treatment as may be deemed necessary. I also undertake to pay any costs which may be incurred for the medical treatment, ambulance transport and drugs. Whilst due care is taken in the selection of dance moves and execution of steps, I am aware that there is always a risk of injury relating to participating in a physical activity.

I have read the "Medical Emergencies" Agreement and agree to the terms.

Studio Policies

Bom Funk Dance Studio General Guidelines & Policies can be found on http://www.bomfunk.com.au/policies/.

Should you have any questions or concerns regarding our policies, please contact Bom Funk before agreeing below. Bom Funk Dance Studio may update Guidelines and Policy Documents and so agreeing to this statement implies you agree to comply with all current and future policies. Active students will be advised of any major Policy changes.

I have read the "Studio Policies" and agree to the terms.

Family Member #1:

Family Member #2:

Family Member #3:

Family Member #4:

Assumption of Risk:

Physical Contact:

Photos/Video for Promotion:

Supervision:

Payment Policies:

Medical Emergencies:

Studio Policies

info@bomfunk.com.au Ph:0466 608 383 www.bomfunk.com.au

Shop 6, 37 Jerrabomberra Parkway, Jerrabomberra, NSW 2619