GAD 23 Dance Enrolment Form

ENROLMENT FORM 2024

Gawler Academy of Dance
Student Information
Student's Full Name*

First NameLast Name
Age*
Date of Birth*

DayMonthYear
Date
Year Level at School (2024)*
Parent/Guardian Information
Parent/Guardian*
E-mail*
Contact Number

Phone Number
Address*

Street Address

Street Address Line 2

CityState

Postal Code
Does your child have any medical history such as past surgeries, allergies and intolerances?

YesNo
If yes, please fill out any medical information:
Does your child have any current or past injuries?

YesNo
If yes, please fill out any injury information:
Emergency Contact
Name (of emergency contact)*

First NameLast Name
Relation to child*
Phone Number*

Phone Number
Available Classes

Please select below
Ballet
choose one
Contemporary
Tap
Choose one
Jazz
Choose one
Acro
Choose one
Musical Theatre
Hip Hop
Choose one
Cheer
Choose one
Competition Team
Choose one
Private Lessons
Mini Classes (Intro to Dance)
Please select below if enrolling in multiple Mini Classes
Mini Classes (Intro to Dance)

Mini Ballet 1 (Ages 3-4)Mini Ballet 2 (Ages 4-5)Mini Acro (Ages 4-5)Mini Tap (Ages 4-5)
Stretch, Strength & Health (SSH)
Enrol in 2 classes and get this for free!
Adult Classes
Choose one
Our Package Deals
- Enrol in 2 classes of choice and you get free SSH Class! (4 Terms)
- Mini’s Bundle! Enrol in Mini Ballet, Mini Acro and Tiny’s Tap, you can get your 3rd Class Half Price! (4 Terms)
- Student Bundle! (6 and over) Enrol in 3 classes and get your 4th class half Price!
Additional Requests or lessons

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ENROLMENT FORM 2024

Student Information

Parent/Guardian Information

Emergency Contact

Available Classes