Enrolment Form

Select Preffered Class:

MON 11:30amTHURS 12:30pmFRI 10:30am

MON 10:30amTHURS 11:30amFRI 09:30am

MON 9:30amTHURS 10:30amFRI 10:30am

MON 12:30pmTHURS 9:30amFRI 12:30pm

WED 4pm

THUR 4:15pm

WED 5:15pmTHUR 5:15pm

FRI 4:45pm

FRI 5:45pm

I understand that a place will ONLY be reserved with a $75 deposit (non-refundable).


Account Name: Dorothy Di Lullo

BSB: 063027

Account No: 10024721

Occasionally as part of ongoing promotion and professional development, photographs or video footage of activities
may be taken in class.

I give Bloom into Music permission for photos or video footage to be taken of my family taken that may be used for promotional and professional development purposes.
I have a second child that l would like to enrol and therefore eligible for the $15 discount on the second enrolment.Please complete a separate enrolment form for an additional child.

We would love to learn more about you and see how we can collaborate with you in any way that we can. It is not compulsory to share your occupation with us. Alternatively, is there anything that you are skilled at (i.e. face painting, candle making, beauty therapy, marketing and social media):

I understand that unattended classes WILL NOT be refunded but CAN be made up while my enrolment remains active. I can transfer unused classes to a friend or family member