Unit 16, 9-13 Matheson Street Bells Creek 4551 - Shop 5 / 18 Corner of Main Drive and Sportsmans Parade Warana Zoe O’Keefe:
0419 797 312
0405 031 464
Free Trial Form
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Date of Birth
Parents / Guardian
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Terms and Conditions
The signatory to this form, as or on behalf of the student, voluntarily accepts unconditionally and unreservedly full and absolute liability for all risk of injury or damage howsoever incurred, whether by negligence or otherwise as a result of and/or the activities inherent in the tuition of the classes AND AGREE that this acceptance shall constitute a complete waiver, discharge and defense to E.P.A to any claim, demand or action against E.P.A for any such damage or injury.
I give full authorization to E.P.A to use student’s photos in all marketing materials including: website, promotional advertisements, newspaper, information booklets, concert program, Facebook, Instagram and all social media.