Enrolment All Classes Enrolment Form Name Parent/Guardian's First Name * Parent/Guardian's Last Name * Address Line 1 * Address Line 2 Suburb * Postcode * Email Address * Mobile Number * Child's First Name * Child's Last Name * Child's Date of Birth * I am enrolling in: * Baby and Kids Class (Mondays 12:25am-1:00pm) Toddler Class (Mondays 9:45-10:20am) Music Class (Mondays 10:30-11:15am) Music Class (Mondays 11:30am-12:15pm) Special Class Do you give permission for photographs and video of yourself and/or your child to be featured on the Mochi Music website and associated social media sites? * Yes No Photos and video may be taken during classes for Mochi Music. These will be used for promotional purposes only on the Mochi Music website and associated social media. You can withdraw your consent at any time by contacting us. How did you hear about us? Comments
