Nova 2024 Registration Form
Please complete this form carefully to secure your dancer’s place
Student Name
*
First Name
Last Name
Age & Year at school (if applicable)
*
Age
Year at School
Birth Date
*
Please select a day
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Day
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Month
Please select a year
2024
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Year
Address
*
Street Address
Street Address Line 2
Suburb
Postcode
Postcode
Parent 1
*
First Name
Last Name
Parent 1 Phone Number
*
Mobile number.
Parent 1 - Email
*
example@example.com
Parent 2
First Name
Last Name
Parent 2 Phone Number
Mobile phone number.
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.
*
Nova communicates with our families via email. It is vital that our families read our emails so they are aware about upcoming events and important information.
*
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
*
Date Registration Form Completed
Please select a day
1
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14
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28
29
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31
Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2032
2031
2030
2029
2028
2027
2026
2025
2024
2023
2022
Year
Submit Application
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