IPA 2023 Enrolment Form
Students Name
*
First Name
Last Name
DOB
*
-
Month
-
Day
Year
Date
Parents Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about us?
*
Friend or Family
Social Media
Google
Other
Currently Dance Here
Medical Conditions (List and Advise of Plan)
Which Level are you?
*
Pre School Program (Ages 2 - 5)
Petite Program (Turning 5, 6 (or in Kindergarten) & 7)
Junior Program (Turning 8, 9 or 10)
Teen Program (Turning 11, 12 or 13)
Senior Program (Turning 14 and above)
Ballet
Ready Set Ballet (Ages 2 - 5)
Pre Primary (Turning 5, 6 or in Kindergarten)
Primary (Turning 7)
Grade 1 (Turning 8)
Grade 2 (Turning 9)
Grade 3 (Turning 10)
Grade 4 (Turning 11)
Grade 5 (Turning 12)
Intermediate Foundation (Turning 13)
Intermediate (Turning 14)
Advanced Foundation (Turning 15)
Advanced 1 (Turning 16)
Advanced 2 (Turning 17 and above)
How many ballet classes would you like to take (exam students and performance team students must do 2 x classes a week)
1 x ballet class
2 x ballet classes
If only doing 1 x ballet class, which days would you like to attend (please see timetable for your options)
What styles would you like to take? (Petite - Senior ONLY) Please refer to the timetable on our website to help answer this question.
Kicks, Turns & Leaps (Junior - Senior ONLY)
Lyrical
Hip Hop
Ballet
Performance Team
Acrobatics
Beginner Pointe
Intermediate Pointe (At least 1 year of beginner pointe classes and own pointe shoes)
Advanced Pointe (At least 2 years on pointe)
Contemporary
Tap
Jazz
Musical Theatre
Technique Development (Petite Only)
Pre School Program ONLY - What day would you like?
Tuesday
Friday
Saturday
Pre School Program ONLY - Ready Set Ballet (30mins)
Yes
No
Pre School Program ONLY - Ready Set Dance (1hr)
Yes
No
Photography and Social Media - By agreeing you acknowledge that your child will be in the concert DVD and you give permission for any footage or photos to be used as advertising or marketing material without any further approval
*
Agree
Disagree
Payment Options - How would you like to be invoiced
*
In Full Upfront - Paid by Day 1 of Each Term (see invoice for due date)
Direct Debit - 45 Weekly/22 Fortnightly/11 Monthly through Ezipay (form will be sent)
Health and Safety - By agreeing you understand that although IPA takes all reasonable care in the conduct and safe dance of its classes that personal injury can occur and Influence PA and its staff will not be held responsible.
*
Agree
Must be checked before clicking 'Submit'
*
I have read and understood the Parent and Student Handbook incl Terms and Conditions
Agree to pay all invoices relating to tuition and extras at GCSDance
Submit
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