Parent Enrolment

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Thank you for enrolling your child in our Jumparoo program. The cost per 30 minute class is $8.95. To see your Term by Term costs and direct debit dates, please fill in the 'Child Information' section below and it will pop up after you entered the details. Any questions please contact - info@jumparoo.com.au
Child Information
Child's name :*
First Name Middle Name Last Name
What centre does your child attend?*
Child's age group*
Day of Class*
Monday - $8.95 per 30 minute class --- Term 1 - $71.60 (Direct Debit Date - 21/2/2018) / Term 2 - $107.40 (Direct Debit Date - 30/4/2018) / Term 3 - $107.40 (Direct Debit Date - 30/7/2018) / Term 4 - $98.45 (Direct Debit Date - 22/10/2018)
Tuesday - $8.95 per 30 minute class --- Term 1 - $89.50 (Direct Debit Date - 25/2/2019) / Term 2 - $107.40 (Direct Debit Date - 29/4/2019) / Term 3 - $107.40 (Direct Debit Date - 15/7/2019) / Term 4 - $89.50 (Direct Debit Date - 7/10/2019)
Wednesday - $8.95 per 30 minute class --- Term 1 - $53.70 (Direct Debit Date - 16/3/2020) / Term 2 - $98.45 (Direct Debit Date - 4/5/2020) / Term 3 - $89.50 (Direct Debit Date - 27/7/2020) / Term 4 - $89.50 (Direct Debit Date - 26/10/2020)
Thursday - $8.95 per 30 minute class --- Term 1 - $89.50 (Direct Debit Date - 21/2/2018) / Term 2 - $116.35 (Direct Debit Date - 30/4/2018) / Term 3 - $107.40 (Direct Debit Date - 30/7/2018) / Term 4 - $98.45 (Direct Debit Date - 22/10/2018)
Friday - $8.95 per 30 minute class --- Term 1 - $80.55 (Direct Debit Date - 21/2/2018) / Term 2 - $116.35 (Direct Debit Date - 30/4/2018) / Term 3 - $98.45 (Direct Debit Date - 30/7/2018) / Term 4 - $98.45 (Direct Debit Date - 22/10/2018)
Gender*
- Male
- Female
Date of Birth*
Contact Information
Contact Information*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone number 1*
Phone number 2
Email Address*
Does your child have any medical conditions that we should be aware of?
Photo Permission : From time to time we take pictures during Jumparoo activities to send home as keep sakes or for use in your centre or school. Jumparoo would like your permission to use pictures taken in our classes for promotional materials. This may include our Facebook page, Newsletters and Calendars. We will never reference your child by full name (first name only) or provide any specific information regarding your child. We also will never sell these pictures; we will use them exclusively for Jumparoo purposes only.
Please select your option to give consent*
By clicking “I agree" below, I authorise my child to attend Jumparoo Classes. I acknowledge Jumparoo uses its best endeavours to ensure that all classes and equipment are safe for children. All physical activities possess inherent risks, I understand and accept the associated risks. I acknowledge that I am the parent/guardian of the child listed at the top of this form. I have read and agreed to the enrolment terms and conditions.*
- I agree
Credit Card Details
Name on Card*
Card Number*
Expiry*
CVV*
Accept Term & Condition*
- I agree
Jumparoo uses Secure Payments Gateway for all transactions. It is the responsibility of the parent to contact Jumparoo before the debit takes place to charge credit card or bank account details. A $5 dishonour fee will be charged for for insufficient funds / expired credit cards. If you have any issues at all you can always email info@jumparoo.com.au We are unable to credit one class missed, however we are happy to credit for any additional classes missed per quarterly billing only. Jumparoo classes do not operate on public holidays (prices exclude public holidays)
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Parent Enrolment

Child Information

Contact Information

Credit Card Details

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