New Enrolment Form 2022
Please note - some terms and conditions & class prices have changed so please take your time to read the NEW 2022 Handbook - the handbook can be viewed at our website - www.thedancefactorybathurst.com.au and click on the TDF login page and enter the password 'TDF2022'
Name
First Name
Last Name
DOB
Parent's Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Residential Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
First Name
Last Name
Emergency Contact Number
-
Area Code
Phone Number
Previous Dance Experience
Please list any medical conditions/allergies to be aware of
Classes for 2022!
(please tick the box)
Classes
Ballet (Casual Class)
Ballet (RAD Exam Class)
Jazz
Tap
Contemporary
Dance Cirque (circus class for ages 5yrs+)
Little Monkeys (circus class for ages 2-5yrs)
Flex-Ability **NEW for 2022!
TumbleTown Preschool Acrobatics 2-5yrs **NEW for 2022!
Mini Groovers 4yrs & Under - Mix of Ballet, Jazz & Tap
Girls Hip Hop
Boys Hip Hop
Acro
Highland (this class will be on zoom with our Sydney Teachers)
Pointe
Musical Theatre
Singing
Adults Mixed Class
Heels Class
Please select your age group
Mini Stars (2-4yrs)
Kindy (5-6yrs)
Junior (7-8yrs)
Intermediate (9-12yrs)
Teens (13-14yrs)
Seniors (15yrs+)
Adults (18yrs+)
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.)
Yes
No
Do you wish for your child to be involved in our Performance Teams? We will be performing at the following Eisteddfods - Bathurst Ooh La La x 2, Bathurst Eisteddfod, Wellington Eisteddfod & possibly Goulburn Ooh La La or Parkes Ooh La La.
YES!
No
Do you wish to participate in TapatakOZ Tap Exams? (Please note exams are an additional cost and your child will need to attend a Tap class every week to complete the exam.)
Yes
No
Type option 3
Type option 4
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?
Yes
No
How did you hear about us?
Facebook
Instagram
Website
Word of mouth
Paper (Western Advocate)
Fees
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. (This includes Family Holidays & Sickness however a refund or makeup class will be available if the teacher is away)
In the event of a lockdown TDF classes will be offered online. If you choose not to particpate this is your own choice and no refunds will be made.
You agree & understand that you must give Miss Flick 4 weeks written notice if your dancer decides to quit their classes. Otherwise the full term fees will be charged.
I agree to read and understand the information provided in the TDF Handbook & above for 2022
Yes
No
I will agree to the Terms & Conditions and Fee Schedule in the TDF Handbook for 2022
Yes
No
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.
I Agree
I Disagree
Signature
Clear
Full Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Should be Empty: