Name of parent or guardian *
Name of parent or guardian
Name of child
Name of child
Phone number
Phone number
Phone number Next of kin
Phone number Next of kin
Which Contakids course are you signing up for? *
Logistics You are welcome to sign up, take the first class and if it's not what you imagined you get the course fee back, besides the $12 for the taster class. !Please note there is a discount for early enrolment! Early bird fee: $100 (registered and paid by June 1 2019) Regular fee: $120 Payment in cash is preferred on your first class. Also possible is Pay Pal to https://www.paypal.me/Jollyhue or elijahlee8620@gmail.com You will have your space secured and will receive confirmation and the welcome email as soon as possible. Thank you!
The duty of supervision and liability of the child lies with the parent or guardian (in which case please bring your agreement with parent)