Enrolment Form
Child's Full Name & Age:
*
First Name
Age
Date of Birth:
*
-
Day
-
Month
Year
Date
Child's Full Name & Age:
*
First Name
Age
Date of Birth:
*
-
Day
-
Month
Year
Date
Child's Full Name & Age:
*
First Name
Age
Date of Birth:
*
-
Day
-
Month
Year
Date
Child's Full Name & Age:
*
First Name
Age
Date of Birth:
*
-
Day
-
Month
Year
Date
Address
*
Street Address
Street Address Line 2
City
State
Post Code
Parent's Full Name:
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Has your child had any previous dance training?
*
Yes
No
Age Group of Child/ren
Petites (Ages 2-4 years)
Juniors (Ages 5 - 8 years)
Intermediates (Ages 9 - 12 years)
Seniors (Ages 13+)
Adults
Petites (Ages 2-4 years)
Classical Ballet
Jazz
Tap
Acrobatics
Juniors (Ages 5 - 8 years)
Classical Ballet
Contemporary
Jazz
Tap
Private Coaching
Stretch & Conditioning
Acrobatics
Competition Team
Intermediates (Ages 9 - 12 years)
Classical Ballet
Contemporary
Jazz
Tap
Private Coaching
Stretch & Conditioning
Acrobatics
Competition Team
Seniors (Ages 13+)
Classical Ballet
Contemporary
Jazz
Tap
Private Coaching
Stretch & Conditioning
Acrobatics
Competition Team
Adults
Fitness
Dance
How did you hear about us?
*
Please Select
Family
Friends
Facebook
Newspaper
Internet
Magazine
Other
Tell us a bit about your child/ren
Submit
Should be Empty: