Summer Intensive Student Application Form

Dance Studio Name *
APPLICANT'S DANCE HISTORY
Current Dance Teacher *

First Name Last Name
Dance Teacher's Email *
example@example.com
Dance Teacher's Phone Number *
Applicant's Last Exam Attained (both syllabus and level) *
Year Attained *
Second Applicant Dance Studio Name *
Second Applicant's Dance Teacher Details *

Same as Above Different Teacher
Second Applicant's Current Dance Teacher *

First Name Last Name
Second Applicant's Dance Teacher's Email *
example@example.com
Second Applicant's Dance Teacher's Phone Number *
Second Applicant's Last Exam Attained (both syllabus and level) *
Second Applicant's Year Attained *
COURSE SELECTION
First Applicant's Level *
First Applicant Contemporary or Classical Repertoire *

Contemporary Classical Ballet
Second Applicant's Level *
Second Applicant Contemporary or Classical Repertoire *

Contemporary Classical Ballet

PAYMENT

All prices include GST
Course Fee/s
Registration Fee
This fee is non-refundable and required
Total to Pay
IMPORTANT: Make note of the total cost to pay before submitting this form

Applications will not be processed until payment has been received.
Payment Method *

Internet Transfer Visa or Mastercard
Overseas applicants, including Australians, may only pay by Visa or Mastercard
Please note: Full payment for the Summer Intensive is expected at the time of enrolment.
REFUND POLICY
If a place cannot be made available, all fees paid will be refunded. If due to injury or ill-health it is necessary to withdraw from the course the refund policy is as follows: The registration fee is non-refundable. Anyone withdrawing on or before 10 January 2021 will be entitled to a refund of 80% of the course fees upon presentation of a medical certificate. Anyone withdrawing after 10 January 2021 will not be entitled to a refund except in extenuating circumstances due to ill health when a medical certificate must be supplied. *

Please tick to show you have read and understood our refunds policy
Please press submit once only. Processing may take a few minutes.
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