JRDS 2025 Enrolment Form - Ability Beats Group Dance Programs
Welcome to the Fam! Please fill out the following information for enrolment in classes for 2025.
Students Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Age as of 1st Jan 2024
Parent/Guardian/Carer Name (If Applicable)
First Name
Last Name
Contacts Email Address
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Account Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
School/ Education (If applicable)
Medical History/ Allergies/ Special Conditions:
Goals and Outcomes you are wishing for from the service?:
Classes Interested in:
Ability Beats - Tap
Ability Beats - Musical Theatre
NDIS Number
Self Managed or Plan Managed?
Payment Terms and Conditions (Please tick)
Account Status: To ensure your uninterrupted participation in classes, please ensure that your account is up to date. Children with overdue accounts may not continue their classes until outstanding payments are resolved.
Media Consent
Yes, I give permission for JRDS to photograph and film student for promotion and advertising purposes, including social media.
Social Media Policy
Members must always respect the privacy, dignity, and rights of other students. Content shared on social media should never compromise their reputation or bring disrepute to the studio or its students.
It is strictly prohibited to capture photographs or record video content of other students, including in classes, events, or activities, without prior permission from the director or a teacher.
Duty Of Care
I have listed medical conditions.
I give permission for the student to be taken to the nearest hospital for medical attention or call an ambulance if the need arises and ambulance charges would be at your own expense.
I understand that care is taken in all classes conducted concerning safety and children’s welfare, but no responsibility will be accepted for any injury or sickness incurred by the student while attending classes or traveling to or from class, or any expense incurred for the same.
Any other comments?
Submit
Should be Empty: