ENROLMENT FORM
BENTLEIGH
GEELONG
HAWTHORN
Child’s name ............................................................................................……………...................................
Date of Birth ……....................................................................
Parent’s / Carer’s Name ...............................................................................................................................
Email .............................................................................................................................................................
Phone (h)............................................................................... (m) ...............................................................
Enrolment Preference:
Centre …………………………………………………………………………………………………………………
1st Preference
Day........................................................ Time …….....................................................
2nd Preference
Day........................................................ Time
……...................................................
ART ‘N’ MOVE TERM FEE $175 GST inclusive

ENROL WITH A FRIEND $165

ENROL WITH 2 FRIENDS $155
PLAY’N’ MOVE TERM FEE $175
LEARN ‘N’ MOVE TERM FEE $190
TERM FEES MUST BE PAID IN FULL BEFORE COMMENCEMENT OF TERM
TO SECURE A PLACE IN THE PROGRAM
Payment options
Please contact the ART ‘N’ MOVE BENTLEIGH office on 9570 3216 to check class availability, then forward
enrolment form and payment / direct deposit to ART ‘N’ MOVE BENTLEIGH, 4 Bonny Street, Bentleigh East,
3165 to secure your place.
Cheque made payable to ART ‘N’ MOVE Bentleigh
Direct Deposit - Account Name: ART ‘N’ MOVE Bentleigh
Please enter child’s name and & BENT (Bentleigh),
GEE (Geelong), HAW (Hawthorn) as a reference
Banking Details
IMB BSB 641 800
A/C 200578068
Credit Card and EFTPOS – Credit Card and EFTPOS facilities are available
Amount: $ _______________ (Please note a $2 processing charge applies to credit cards)
Number __ __ __ __
__ __ __ __
__ __ __ __
__ __ __ __ Exp __ __ / __ __
Name on card............................................................... Signature..............................................................
Numbers are limited to 11 and places are allocated on a first come first serve basis.
ART ‘N’ MOVE Bentleigh reserves the right to refuse admission to any participant who poses a disciplinary problem
to our teachers or disrupts the learning for other participants
[email protected]  www.artnmove.com.au  Tel: (03) 95703216
ABN 38 026 214 155
Parents and carers please be aware that Art ‘N’ Move Bentleigh has a no refund policy. If your child sustains a serious injury or illness
that prohibits participation in the program, upon presentation of a medical certificate we will credit lessons missed to the next term,
thus deducting them form the following terms fee. Parents must notify Art ‘N’ Move Bentleigh of the situation so arrangements can
be made. There are no refunds for absence due to family’s taking early holidays, moving interstate or for other such reasons.
If your child does miss a class we offer a makeup class in the last week of the term.