Dancemajic Student Application Form

Parent & Emergency Contact Details

When including parent details, Parent 1 will be listed as the primary point of contact for the enrolled student. Only details for the primary parent must be provided, however we recommend having both listed (where possible). In the event that Parent 1 cannot be contacted, then an attempt to reach Parent 2 will be made. Where a second parent is not listed, in the event of an emergency if the designated parent cannot be contacted, the Emergency Contact will be called.
Parent 1 Name*

First NameLast Name
Parent 1 Contact Number (Mobile Preferred)*
Please enter valid mobile number (04XXXXXXXX)
Parent 1 Email Address*
example@example.com
Parent 2 Name

First NameLast Name
Parent 2 Contact Number (Mobile Preferred)
Please enter valid mobile number (04XXXXXXXX)
Parent 2 Email Address
example@example.com
Emergency Contact Name (must be someone other than Parents)*

First NameLast Name
Emergency Contact Number (Mobile Preferred)*
Please enter valid mobile number (04XXXXXXXX)
Relationship to enrolled student
e.g. Grandmother, Family Friend, Neighbour

Terms and Conditions of Enrolment

Click the link below to view the T&Cs, complete the declaration and agree below. If you are enrolling in our Ready Set Move With Me Program, you will also be required to supply a completed participation waiver for each additional adult who may join us (on the last page of the T&Cs).
I Full Name* , am the student, or the Parent/Guardian of the student named in this form. I understand and agree to the terms and conditions as set by DanceMajic. I take full responsibility to ensure that all fees are paid on time and that relevant student medical conditions have been disclosed to DanceMajic.

Options for payment are listed below:*

Pay by Cash or Bank Transfer (Place not guaranteed until payment is made)Pay Online (Guarantees your place today)
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AUDDanceMajic 2024 Enrolment Payment
Online Payment Surcharge
Total Amount Paid ($AUD)
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Student Registration Form