Course Registration Form

Capalaba Physie 2026 Registration Form

Tuesday/Thursday - Capalaba State College, School Road, Capalaba - Gate 2
I am a

New BJP MemberExisting BJP Member
Dancer/Participants Name

First NameLast Name
Parent/Guardian Name

First NameLast Name
Participants Birth Date

MonthDayYear
Email
example@example.com
Mobile Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Class Selection

CP Cuties (3-4 Years)5 - 8 Years9 - 12 Years13 - 1st Years (17 Years)SeniorsLadies
Please select payment option:

Pay year in fullPay in 4 instalments
Do you give Capalaba Physie permission to use your child's photo on social media?

YesNo
Do you have any specific family arrangements that Capalaba Physie should be aware of?

YesNoOther
Additional Comments
Should be Empty:

Capalaba Physie 2026 Registration Form