Statix Dance Group Enrolment Form

2025 STUDENT ENROLMENT FORM

Please fill out and complete the below enrolment form for dance classes in 2025. One enrolment form per student is required. Please complete to secure your spot and we cannot wait to dance with you in 2025!
STUDENT DETAILS
Student Name*

First NameLast Name
Student Date of Birth*

MonthDayYear
Gender*
Age Now*
Student School Grade (if applicable)*
PARENT / CARER DETAILS
Parent/Carer Name*

First NameLast Name
Parent/Carer Email*
example@example.com
Parent/Carer Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EMERGENCY CONTACT DETAILS
First Emergency Contact - Name *

First NameLast Name
Emergency Contact - Phone Number*

Phone Number
Relationship to Student
Second Emergency Contact - Name *

First NameLast Name
Second Emergency Contact - Phone Number*

Phone Number
Relationship to Student
2025 DANCE CLASSES

At Statix Dance Group, we offer a wide range of dance classes for ages 2.5 years to adult. Please select the classes that you are interested in enrolling for 2025. Please note: Classes and class age groups is subject to change due to class size and availability. You will receive further information and class details once we have received your enrolment.
JazzLyricalHip HopAcrobaticsTapContemporaryAdult Class (expression of Interest)2025 Competition Team (expression of interest for competition classes)
Photography Consent

At Statix Dance Group, we have a facebook and Instagram page where we post photos and videos of students in class to celebrate the students' progress and achievements throughout the year as well as share happy moments in class. By selecting the option below and signing this section, you either do or do not give consent for your child to be featured in these photos or videos posted on our social media pages to the public.
YesNo
Clear
YesNo
If yes, please comment in the box below
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2025 STUDENT ENROLMENT FORM

STUDENT DETAILS

PARENT / CARER DETAILS

EMERGENCY CONTACT DETAILS

2025 DANCE CLASSES

Photography Consent