• 2022 ENROLLMENT FORM

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  • STUDENT DETAILS

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  • PARENT DETAILS

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  • EMERGENCY CONTACT (IN CASE OF EMERGENCY PICK-UP)

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  • MEDICAL HISTORY

    *PLEASE NOTE THIS DOES NOT AFFECT YOUR CHILD'S ENROLMENT, IT IS SIMPLY SO THAT STAFF ARE AWARE OF ANY MEDICAL CONDITIONS THAT MAY AFFECT THE STUDENT WHILE THEY ARE AT THE STUDIO*
  • DUE TO GOVERNMENT HEALTH POLICIES, WE ARE LEGALLY UNABLE TO PROVIDE FIRST AID TO A STUDENT WITHOUT PARENTAL/GUARDIAN CONSENT. THIS INCLUDES, BUT IS NOT LIMITED TO ADMINISTERING PANADOL & BAND AIDS.
  • By signing below, I acknowledge that the above information is true & correct. The Rage Dance Company cannot be held responsible for actions taken to provide medical attention that is not listed above.I understand that this information will be kept confidential by The Rage Dance Company staff members & will only be given to my child’s teachers/staff.
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  • FEES

    *PLEASE SELECT YES AT EACH POINT IN ACKNOWLEDGEMENT*
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  • MEDIA RELEASE

  • I acknowledge the above information is true & correct & I understand that I am agreeing to any conditions listed above. I understand that The Rage Dance Company must be made aware of changes to any of the social media details I have provided above and that I can remove permission in writing to info@theragedc.com at any time
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  • CLASSES ENROLLING IN:

  • FEE PAYMENT

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    ENROLLMENT FEE
    $ 40.00 AUD
       
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    $ 0.00 AUD

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  • BY SIGNING BELOW I AGREE TO CONFIRM MY CHILD'S ENROLLMENT AT THE RAGE DANCE COMPANY & THAT ALL DETAILS ARE TRUE & CORRECT. I UNDERSTAND THAT MY CHILD'S ENROLLMENT IS VALID UNTIL JANUARY 15 2023 UNLESS TERMINATED PRIOR. ANY AMENDED INFORMATION PROVIDED UNTIL THIS TIME WILL BE VALID UNTIL THE SAME DATE.
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