Kaarla Wirren IN SCHOOL PROGRAM enrolment form

EMERGENCY CONTACT DETAILS
Parent / Guardian or Emergency Contact Details

For under 18, please provide Parent/ Guardian details. For 18yrs+ please provide Emergency Contact details
Parent Guardian or Emergency Contact Name*

First NameLast Name
Relationship to participant(s)*
Mobile Number*
Format: 0000-000-000.
E-mail*
example@example.com
Yes pleaseNot at this time
SECONDARY PARENT / GUARDIAN OR EMERGENCY CONTACT
Secondary Parent Guardian or Emergency Contact Name

First NameLast Name
Relationship to participant(s)
Mobile Number
Format: 0000-000-000.
E-mail
example@example.com
Yes pleaseNot at this time

SEA MEMBERSHIP
SEA is a membership-based organisation. All members are required to pay a yearly membership fee and complete a membership form annually.

ANNUAL MEMBERSHIP FEE of $20 ($15 for additional family members) each calendar year is due at time of enrolment.

Southern Edge Arts (SEA) members are entitled to voting privileges at our Annual General Meeting each year. Parents/guardians may elect to vote on behalf of their minor. By signing up as a member of SEA you are agreeing to:

- Adhere to our Constitution (available to download on our website).

- Adhere to our member Code of Conduct and Policies.

- Your email address being added to our Newsletter database (you can unsubscribe at any time).

- Photos or video footage being taken of members and used on the SEA website, Youtube, Vimeo, Facebook and other third party websites to promote the work of SEA and our funding bodies unless opted out above.
Aboriginal and/or Torres Strait IslanderPerson from a culturally diverse backgroundPerson with additional needs to support your inclusion
To Sign Print Parent/Guardian Full Name or Your Name if 18+years*

First NameLast Name
Date Signed*

MonthDayYear
Date

IN SCHOOL PROGRAM - CIRCUS & DANCE ENROLMENT

All participants must be SEA Members for insurance purposes

MEMBERSHIP PAYMENT AND ENROLMENTS

FIRST MEMBERSHIP

to be paid each calendar year

$20.00AUD Quantity

ADDITIONAL FAMILY MEMBERSHIP

$15.00AUD Quantity

I'M A CURRENT 2026 MEMBER

$ FreeAUD Quantity

IN SCHOOL PROGRAM - DANCE & CIRCUS

$ FreeAUD Number of attendees

Donate to our Equipment Fund

$10.00AUD Quantity

Total

$0.00AUD

Southern Edge Arts