Enrolment Form 2021
Before completing the form please make yourself familiar with our Terms and Conditions, Class Pricing & Timetable as listed in our Handbook.
Street Address Line 2
State / Province
Postal / Zip Code
Emergency Contact Number
Previous Dance Experience
Please list any medical conditions/allergies to be aware of
(please tick the box)
Ballet (Casual Class)
Ballet (RAD Exam Class)
Mini Groovers 4yrs & Under - Mix of Ballet, Jazz & Tap
Little Monkeys (ages 2-5yrs)
Dance Cirque (ages 5yrs+)
Performance Team/Eisteddfod Groups
Girls Hip Hop
Boys Hip Hop
Private - for solo work
Do you wish to participate in RAD Classical Ballet Exams? (please note exams are an additional cost and your child will need to attend a minimum of two ballet classes a week to complete the exam.)
Do you give permission for your child to be photographed/videoed during class/rehearsals and at times added to our website/social media gallery or newsletters?
How did you hear about us?
Word of mouth
Paper (Western Advocate)
You will be billed per term and payment, in full, is expected two weeks after the date of invoice. If payment is not received by this time you will receive a $30 late fee that will be applied to your invoice.
Refunds for missed classes are not offered.
I have read the TDF Handbook
I agree to the Terms & Conditions and Fee Schedule in the Handbook
By checking 'I Agree' below and submitting this form, you, the Parent or Guardian of the above student, agree to release "The Dance Factory", including instructors and assistants from liability for any and all injuries which may occur while training, practicing, performing, or during any studio event or activity. You also agree that you are responsible for health and accident insurance and any medical costs incurred due to injury. You give permission for emergency medical transportation and treatment of your student(s) at your expense should the need arise. You also give your permission for the teachers at "The Dance Factory" to use physical contact while teaching, E.g. assisting with posture.
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