2021 Enrolment Form - FNQ Dance Academy

2021 STUDENT ENROLMENT FORM

(separate form required for each sibling in a family. All students required to complete a form).
STUDENT DETAILS
Student Name*

First NameLast Name
Student Date of Birth*

DayMonthYear
Date
Student School Name & Grade (if applicable)
Student Email Address (if applicable. Not parent email)
example@example.com
Student Medical Conditions (if any):
Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year commenced classes at FNQDA
PARENT / CARER DETAILS
#1 Parent/Carer Name*

First NameLast Name
#1 Parent/Carer Relationship to Student*
#1 Parent/Carer Contact Number*
#1 Parent/Carer Email (primary contact point) *
example@example.com
Optional additional email address for correspondence & invoices
example@example.com
#2 Emergency Contact - Name

First NameLast Name
#2 Relationship to Student
#2 Emergency contact - Phone Number
CLASS OPTIONS

Please select class/es to enrol your child in below. If you have any questions please feel free to contact us to discuss.
GENERAL MOVEMENT & PRE-SCHOOL PROGRAM (Under 5's)
GENERAL MOVEMENT CLASSES
BEGINNERS CLASSES (5-7 years)
BOYS ONLY CLASSES
BEG. / PREP BALLET CLASSES (5-7 yrs)
BEGINNER JAZZ CLASSES (5-7yrs)
BEGINNER TAP CLASSES (5-7yrs)
BEGINNER HIP HOP CLASS (5-7yrs)
RECREATIONAL STREAM CLASSES
REC BALLET CLASS OPTIONS
REC JAZZ CLASS OPTIONS
REC HIP HOP OPTIONS
REC CONTEMPORARY OPTION
SYLLABUS / EXAM STREAM CLASSES
BALLET - GRADES
BALLET - VOCATIONAL
CONDITIONING/POINTE
TAP
JAZZ
ACRO & TUMBLING
CONTEMPORARY /LYRICAL
MUSICAL THEATRE
EXTENSION PROGRAM

(not part of package - includes individual assessment)
CONDITIONS OF ENROLMENT:*

I understand that while the upmost of care is taken, participation in dance classes carries a risk of physical injury. Each student participates at their own risk and teachers/staff of FNQ Dance Academy are not liable for any injuries sustained during classes.I appreciate that dance is a tactile art form and student/teachers will have physical contact in class.I give permission to use photographs/videos of the above student for publicity & memorabilia purposes. (OR: If permission is not given I will personally email sarah@fnqdanceacademy.com.au with student details for follow-up and flagging. Note: it is the student/parent responsibility to remove themselves from announced group photos where possible)I will ensure my child and I both understand the Academy Code of Conduct and School Rules and will help to enforce them with positivity (displayed at studios & available via email)I am aware of the CovidSafe Action Plan and my obligations regarding this as outlined on the website and at point of entry to the studios
Any additional info you wish to tell us:
Should be Empty:

2021 STUDENT ENROLMENT FORM

STUDENT DETAILS

PARENT / CARER DETAILS

CLASS OPTIONS

GENERAL MOVEMENT & PRE-SCHOOL PROGRAM (Under 5's)

BEGINNERS CLASSES (5-7 years)

RECREATIONAL STREAM CLASSES

SYLLABUS / EXAM STREAM CLASSES

EXTENSION PROGRAM