Element Cheer and Dance - Term 1 2021 Enrolment

1
ANNUAL REGISTRATION FEE - $30 PER STUDENT or $50 per Family

Please refer to our handbook for all Element's terms and conditions and class costs.

Includes a free t-shirt

After the completion of this form you will receive a confirmation email from Element Cheer and Dance confirming your place in your selected class/es

(please note this may take a few days for processing).

Class size limits apply.

If you are having any issue with enrolment contact us at

info@elementcad.com.au

or

0408 200 711
2
Student One Full Name* This field is required.
First Name
Last Name
3
Date of Birth* This field is required.
Date
Day
Month
Year
4
Has the student had any medical history and / or allergies that Element Cheer and Dance should be aware of?* This field is required.
5
Please select the class/es Student One would like to enrol in* This field is required.Select multiple if required
Monday Silver Jazz - 4:15pm
Monday Zinc Musical Theatre - 5:00pm
Monday Gold Jazz - 5:45pm
Monday Platinum Jazz - 6:30pm
Monday Oxygen Adult Dance - 7:15pm
Tuesday Pocket Rockets- 3:45pm
Tuesday Helium Cheer - 4:15pm
Tuesday Titanium Cheer - 5:15pm
Private Tumbling - Contact info@elementcad.com.au - 6:30 - 7:00pm
Wednesday Pocket Rockets 3:30pm
Wednesday Bronze Jazz - 4:00pm
Wednesday Tin Musical Theatre - 4:30pm
Wednesday Iridium Hip Hop - 5:00pm
Thursday Nickel Ballet - 3:45pm
Thursday Copper Ballet - 4:30pm
Thursday Neon Dance Team - 5:15pm
Thursday Radium Ballet -6:00pm
Thursday Pointe - 6:40pm
Saturday Pocket Rockets - 10am
6
Student Two Full Name
First Name
Last Name
7
Date of Birth
Date
Day
Month
Year
8
Has the student had any medical history and / or allergies that Element Cheer and Dance should be aware of?
9
Please select the class/es Student Two would like to enrol inSelect multiple if required
Monday Silver Jazz - 4:15pm
Monday Zinc Musical Theatre - 5:00pm
Monday Gold Jazz - 5:45pm
Monday Platinum Jazz - 6:30pm
Monday Oxygen Adult Dance - 7:15pm
Tuesday Pocket Rockets- 3:45pm
Tuesday Helium Cheer - 4:15pm
Tuesday Titanium Cheer - 5:15pm
Private Tumbling - Contact info@elementcad.com.au - 6:30 - 7:00pm
Wednesday Pocket Rockets 3:30pm
Wednesday Bronze Jazz - 4:00pm
Wednesday Tin Musical Theatre - 4:30pm
Wednesday Iridium Hip Hop - 5:00pm
Thursday Nickel Ballet - 3:45pm
Thursday Copper Ballet - 4:30pm
Thursday Neon Dance Team - 5:15pm
Thursday Radium Ballet -6:00pm
Thursday Pointe - 6:40pm
Saturday Pocket Rockets - 10am
10
Parent/Guardian Details* This field is required.
11
Parent/Guardian E-mail* This field is required.
12
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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Ethiopia
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Country
13
Secondary Emergency Contact* This field is required.
14
Terms and Conditions* This field is required.
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