Registration

Welcome to Jim Jam Music Studios!
If you would like to enroll your child/children in any of our classes, please complete the enrolment form below.
We will then come back to you with confirmation and instructions to make payment.
If you are interested in learning more about any of our classes, please complete our enquiry form.

We are so excited to welcome you into the Jim Jam Family.

REFERRAL INFORMATION

How did you hear about us?

Referral Name

FAMILY INFORMATION

Family Last Name

Where do you live?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

ADDITIONAL INFO

Alternate caregiver

CONTACT INFORMATION

Contact #1 - Name

First Name

Last Name

Contact #1 - Relationship to Child

Contact #1 - Phone

(###)

###

####

Contact #1 - Email

Contact #2 - Name

First Name

Last Name

Contact #2 - Relationship to Child

Contact #2 - Phone

(###)

###

####

Contact #2 - Email

STUDENT INFORMATION

Student #1 - Name

First Name

Last Name

Student #1 - Gender

Student #1 - Date of Birth

YYYY

STUDENT ADDITIONAL INFORMATION

Please complete as applicable

School Grade

Disabilities/Additional Needs

Allergies

Immunisation Notes

CREATIVE KIDS VOUCHER INFORMATION

Please note that the date of birth above must match the details on the Creative Kids Voucher.

Voucher number

Name of voucher

WHICH CLASS WOULD YOU LIKE TO ENROLL IN?

Please select all classes that you would like to enroll in.

2024 Class Enrollment

2024 Term enrollment - please add class details below

2024 Term enrollment class details

Additional Students

Please add the same student information as above for any additional students.

Questions or Concerns

Comments

Registration

Jim Jam Music

Got Questions?

www.jimjammusic.com.au