MonkeyMoves Enrolment

Fill in the form below to enrol your child in the next program.

Term
Child's First Name
Surname
Male/Female
Age
Date of birth
Tel
Email
Address
Suburb
P/code
Medication
How did you hear about us ?
Referred by
If your child has any issues you are concerned about or think we need to be aware of please list them

I acknowledge that both my child and I have an agreement with room2move for the ‘monkey moves’ class and that the terms of the contract include:

I am required to supervise my child and have the responsibility for my child while they are at room2move. Both my child and I hold harmless room2move
and their staff from and against any liability to either of us arising from or as a result of negligence. In no circumstance shall room2move be liable for
special or consequential damages.

Any missed classes may be made up in the term that I am currently enrolled in. No refunds will be given for missed classes.

My personal information will be kept confidential.

I understand that room2move and the monkey moves staff will not be able to provide me with their services without this consent.

I understand and agree with these terms and conditions.
 
   

 

 

 

222 Bell St Coburg Vic 3058
Tel: 03 9354 9981

Email: monkeymoves
@coburgosteo.com.au
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