Registration Form

Nova 2024 Registration Form

Please complete this form carefully to secure your dancer’s place
Student Name*

First NameLast Name
Age & Year at school (if applicable)*

AgeYear at School
Birth Date*

DayMonthYear
Address*

Street Address

Street Address Line 2

SuburbPostcode

Postcode
Parent 1*

First NameLast Name
Parent 1 Phone Number*
Mobile number.Format: 0000 000 000.
Parent 1 - Email*
example@example.com
Parent 2

First NameLast Name
Parent 2 Phone Number
Mobile phone number.Format: 0000 000 000.
Parent 2 - Email (optional)
example@example.com
Please type your class choices below*
Please type any allergies & relevant medical information below
How did you hear about Nova? Please type referring family below if relevant.
I would like my dancer to have first aid administered if an injury should occur. Our staff members are all trained in first aid. Please type yes or no in the box below.*
We agree to read all Nova email communication
I have read & agree to the Nova terms and conditions on the website. Please type yes in the box below.*
Signature*

Clear
Date Registration Form Completed

DayMonthYear
Should be Empty:

Nova 2024 Registration Form