ENROLLING FOR 2023 Please complete the form below to secure your spot for Term Two 2023. We will be in contact with you to confirm your place.We’re very excited to welcome you and your friend on board! ENROLMENT FORM STUDENT INFORMATION Student's Name First Name Last Name Gender Male Female Other Date of Birth Day / Month / Year School Year 2023 Enrolment Course Jitterbugs (2YR) Beebopper (3YR) Pianorama Junior (Kindy) Pianorama Junior (PP/YR1) Pianorama Primary Day Preferences PARENT INFORMATION Parent's Name First Name Last Name Email Phone Number Address Address 1 Address 2 City State/Province Zip/Postal Code Country Facebook Promotion 2023 Name of Friend for Special Offer I accept: ISM Westcoast Terms and Conditions ISM Westcoast Parent Consent for Use of Images Thank you for your submission!We will be in contact to confirm your enrolment shortly. ISM Terms and Conditions/ Image Use We look forward to contacting you soon!Please don’t hesitate to reach out with any questions or queries.