Student's Name
First Name
Last Name
Birth Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
January
February
March
April
May
June
July
August
September
October
November
December
Month
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
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1982
1981
1980
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1963
1962
1961
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1958
1957
1956
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1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Female
Male
School
Year level
Citrus T-Shirt-Compulsory Uniform $25
Child 4
Child 6
Child 8
Child 10
Child 12
Child 14
Adult 8
Adult 10
Adult 12
Adult 14
Citrus Adults Mesh T-Shirt-$30
Adult 8
Adult 10
Adult 12
Adult 14
Adult 16
Citrus Tank Top $25
Child 7
Child 8
Child 10
Child 12
Lds 8
Lds 10
Lds 12
Lds 14
Lds 16
Mens SM
Mens Med
Mens Lrg
Citrus Cross Over Top $30
Child 4-6
Child 8-10
Child 12-14
Citrus Hoodie $35
Child Small
Child Med
Child Lrg
Adult Small
Adult Med
Adult Lrg
Citrus Drink Bottle $13
Yes
No
Citrus Dance Bag $25
Yes
No
Citrus Headband $12
Yes
No
Do you suffer from any medical/ allergies condition or injury? If yes, explain.
Parent/Guardian's Name
Address
Contact Number
E-mail
How did you hear about Citrus Dance?
Emergency Contact Name:
Emergency Contact Number:
I would like to enrol in the following classes for 2017:
MONDAY:
4:30pm-5.15pm PREP-GRADE 2 JAZZ
5.15pm-6pm PREP-GRADE 2 TAP
4.30pm-5.15pm JUNIOR ACROBATICS (PREP -2)
5.15pm-6.00pm INTERMEDIATE ACROBATICS (GR 3-6)
6.00pm-7.00pm HIGH SCHOOL ACROBATICS 7+
4.30pm-5.30pm GRADE 4-6 BALLET
5.30pm-6.30pm HIG SCHOOL JAZZ TECHNIQUE
6.30pm-7.30pm YEAR 7+ BALLET
7.30pm-8.30pm YEAR 7+ CONTEMPORARY
6.00pm-7pm TEST 1-2 BALLET
TUESDAY:
4.30pm-5.15pm GRADE 5 JAZZ
5.15pm-6pm Grade 5-6 LYRICAL
6pm-6:45pm GRADE 5-6 TAP
6:45-7:30pm GRADE 6 JAZZ
4.30pm-5.30pm BROADWAY
5.30pm-6.15pm PREP-GRADE 4 POPSTARS
6.15pm-7.15pm GRADE 5+ POPSTARS
7.15pm-8.15pm YEAR 9+ TAP
WEDNESDAY:
4.30pm-5.30pm YEAR 7-8 HIP HOP
5.30pm-6.30pm YEAR 7-8 TAP
6.30pm-7.30pm Year 7-8 JAZZ
7.30pm-8.30pm Year 7-8 LYRICAL
4.30pm-5.15pm KINDER JAZZ-TAP
5.15pm-6.00pm KINDER BALLET
4.30pm-5.30pm PREP-GRADE 1 BALLET
5.130m-6.30pm GRADE 2-3 BALLET
THURSDAY:
4:30pm-5.30pm YEAR 9+ HIP HOP
5:30pm-6.30pm YEAR 9+ JAZZ
6:30pm-7.30pm YEAR 9+ LYRICAL
7.30pm-8.30pm BALLET POINTE
4.30pm-5.15pm PREP-GRADE 3 BREAK DANCING
5.15pm-6.15pm GRADE 4-YEAR 8 BREAK DANCING
FRIDAY:
4.30pm-5.15pm GRADE 3-4 TAP
5.15pm-6pm GRADE 3-4 JAZZ
6pm-6.45pm GRADE 3-4 LYRICAL
4.30-5.15pm OPEN PREP-GRD 2 HIP HOP
5.15pm-6.00pm PREP-GRADE 2 BOYS HIP HOP
6.00pm-6.45pm GRADES 3-6 BOYS HIP HOP
6.45pm-7:30pm OPEN GRADE 3-6 HIP HOP
SATURDAY:
9.30am-10.15am KINDER JAZZ/TAP
10.15am-11.00am KINDER BALLET
9.30am-10.30am Prep-GRADE 1 BALLET
10.30am-11.15am PREP-GRADE 2 JAZZ
11.15am-12.00pm PREP-GRADE 2 TAP
12.00pm-1.00pm GRADE 2-3 BALLET
TERMS & AGREEMENTS
Please tick that you have read and accept all terms and agreements as outlined in 2016 Information Document found on our website
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