Enrollment Form

PLEASE REGISTER YOUR INTEREST BY EMAILING info@facebarmelbourne.com.au

First Name*
Last Name*
Address
Suburb
Pcode
Home Number
Mobile Number
Work Number
Email*
Emergency Contact Number
Relationship

If student is under 18 a guardian must complete

First Name
Surname
Relationship to student
Contact Number Email
Emergency Contact
Course start date
Full Amount: 950Deposit Amount: 250

Payment Options

I want to pay with

For Credit card payments, please call us on 0402 402 780

A receipt will be issued as soon as payment has cleared.

In the event a class is cancelled, participants would be offered a refund or alternatively a transfer to an another date. A participant's enrollment is not confirmed until a completed enrollment form and full payment is received no later than two weeks prior to the course date.

I declare that I have read, understood and agree to abide by the Terms of Enrollment outlined herein.