AICD - Adult Ballet assessment Program Enrolment Form

AICD - Adult Ballet assessment Program Enrolment Form
Full Name*

First NameMiddle NameLast Name
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Birth Date

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact*

First NameLast Name
Phone Number Of Person To Contact In Case Of Emergency*
Please enter a valid phone number.Format: (000) 000-0000.
AICD Level 1 - Saturday 1.30pmAICD Level 2 - Saturday 12pm
Please provide any information about injuries or restrictions.
Please provide any information about your dance history and level as an adult ballet dancer.
Adult Ballet Centre and Australian Institute of Classical Dance - Adult Ballet Assessment Program
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AICD Enrolment x 16 weeks
Your enrolment into your selected level plus GST is 10% at checkout. This includes your AICD intrenal assessment and external Exam fees, including 16 weeks of classes.

$787.00AUD

Four part payment plan option
If you have selected the 4-part payment plan option, four payments of $196.75 Mollie and Lee will enrol you into your selected level and activate to your payment plan on your ABC membership profile.

$ FreeAUD

Subtotal

$0.00AUD

Tax

$0.00AUD

Total

$0.00AUD
After enrolment is complete you will be sent a digital welcome to AICD information booklet that has everything you need to know.
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