Super Speak Enrolment Form - Powered by Keap

www.superspeak.com.au | 03 9572 5249 | [email protected]

Group Classes Enrolment Form

ENROLMENTS NOW OPEN!

To register, new students are asked to please complete the enrolment form below. Our enrolments team will be in touch within 3 business days to confirm a place or advise of the wait list process.

If you have already completed an enrolment form for your child, but wish to make changes to your preferences or enrolment details, then please contact our office directly on (03) 9572 5249 or [email protected]. You do not need to complete another enrolment form.

Please Note:

• Please indicate your class preference by selecting your preferred option in the class drop downs below.

• Class fees & important dates can be found here.

• Classes consist of weekly 55 minute lessons. Classes DO run on public holidays. Important dates can be found here.

• You may find your answer on our frequently asked questions page here, otherwise please email [email protected] or call 03 9572 5249.

Enrol now for the best chance to secure a spot in your preferred class.

Parent Guardian Details

*= required field

Parent's First Name *

Parent's Last Name *

Mobile Number *

Secondary Contact Number *

Email *

Suburb (Where You Live) *
Post Code *

Child Details

Please Note: Your child's name will appear on certificates in the same style and format you enter on this form. Please ensure your child's name is typed correctly and in title case (e.g. "John Smith"), not in capitals or lower case (e.g. "JOHN SMITH" or "john smith") .

Child's First Name *
Child's Last Name *

Gender *

MaleFemaleOther

Date of Birth (DD-MM-YYYY) *

School *

Year Level At School *

Has this student been in our program before? *

YesNo

Will you have more than 1 child in our program? *

YesNo

Please complete a separate enrolment form for each child that you wish to enrol in the program.

What areas would you like your child to develop?

Friends to be grouped with

How did you first hear about Super Speak? Please be specific (not "online") *

Medical Details

Does your child have any medical condition and/or history that you believe we should know about? *

YesNo

If yes, please include details below (40 characters only)

CLASS PEFERENCE

• Juniors: 6 to 9 years old. Seniors: 10-14 years old. For ages outside of this range, please contact us for further options.

• Pick up punctuality: punctual pick up from class is a requirement of our program. Please consider this when you are selecting your class preference and only enrol if you are able to meet this requirement of enrolment.

As some classes have waiting lists, we recommend parents / guardians select 2 classes that may be suitable. Selecting a 2nd class is optional, but it can help you secure a position.

1st Preference *

2nd Preference

General comments

Please note:

We are unable to offer refunds after payment has been received.

We are unable to offer refunds, credits, make-up classes or discounts for missed classes for any reason. This ensures Super Speak can maintain a stable learning environment for all students with minimum class disruptions. Venues and teachers are also hired based on full enrolment periods

Payment details & fee request will be issued once enrolment officer has confirmed class availability.

A position in a class is not guaranteed until availability has been confirmed and payment is received.

Class fees, times, duration & locations are subject to change.

I have read, understood & confirm that I agree to, and am not in conflict of, Section A of Super Speak’s terms & conditions in the link below including copyright notice, competitor exclusions, and do not share content conditions of enrolment *

I understand Super Speak do not offer refunds, credits, discounts or make-up classes for missed classes or cancellations after payment is received (for any reason) *

I understand that Super Speak teachers & staff may not be trained to use EpiPens *

I, the legal guardian, give consent for my child to attend Super Speak and have read, understood & agree to all Super Speak terms & conditions as per below link *

Terms and Conditions*

03 9572 5249 | [email protected]