Enrolment Form 2025

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We continue to welcome ALL PRESCHOOL ENROLMENTS (Little Stars and Twinkle Stars) for the remainder of 2025.
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Student Name
First Name
Last Name
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Student Birth Date
Day
Month
Year
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Student T-Shirt Size (for free T-shirt on Enrolment):
Please Select
Please Select
Child 2
Child 4
Child 6
Child 8
Child 10
Child 12
Child 14
Adult X-Small
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
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Active Kids Voucher Number (if using):
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Parent/Carer Name
First Name
Last Name
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Phone Number
Area Code
Phone Number
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Email
example@example.com
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Emergency Contact NameDifferent to person enrolling
First Name
Last Name
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Emergency Contact Phone Number* This field is required.
Area Code
Phone Number
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Image Field
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Please scroll down for full details
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Studio Location for Enrolment* This field is required.
Rutherford - 6/37 Shipley Drive
Greta - Greta Multipurpose Centre, 1 Water Street
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AGE PROGRAM OF ENROLMENT
Please Select
Please Select
TWINKLE STARS "DANCE WITH ME" - 12 months-3yrs
LITTLE STARS - Preschool (2-5 yrs)
RISING STARS - Kinder-Yr 2 (5-8 yrs)
SHINING STARS - Primary Yr 3-6 (9-12 yrs)
SHOOTING STARS - High School (13 yrs +)
SUPER STARS - 15 yrs + By Invitation
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TWINKLE STARS "DANCE WITH ME" please enrol me in:
Rutherford - WEDNESDAY 10.15-10.45am
Rutherford - SATURDAY 10.00-10.30am
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Please scroll down for full details
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LITTLE STARS DANCE please enrol me in:Click “NEXT” if you do not wish to enrol in Little Stars Dance
Rutherford - MONDAY 4.45-5.30pm
Rutherford - TUESDAY 4.45-5.30pm
Rutherford - WEDNESDAY 9.15-10.00am
Rutherford - WEDNESDAY 4.15-5.00pm
Rutherford - SATURDAY 9.45-10.30am
Greta - MONDAY 3.45-4.30pm
Greta - Wednesday 4.00-4.45pm
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LITTLE STARS CIRQUE & TUMBLE please enrol me in:
Rutherford - MONDAY 4.00-4.45pm
Rutherford - SATURDAY 9.00-9.45am
Greta - MONDAY 4.30-5.15pm
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Please scroll down for full details
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COMMERCIAL - Jazz/Hip Hop (Rising Stars)Click “NEXT” if you do not wish to enrol in “Commercial” Classes
Rutherford - MONDAY 4.45-5.30pm
Greta - WEDNESDAY 4.45-5.30pm
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CONTEMPORARY - Modern/Lyrical Ballet (Rising Stars)Click “NEXT” if you do not wish to enrol in “Contemporary” Classes
Rutherford - MONDAY 5.30-6.00pm
Greta - WEDNESDAY 4.45-5.30pm
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TAP (Rising Stars)Click “NEXT” if you do not wish to enrol in “Tap” Classes
Rutherford - MONDAY 4.15-4.45pm
Greta - WEDNESDAY 6.00-6.30pm
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DANCE CIRQUE - Circus for Dancers (Rising Stars)Click “NEXT” if you do not wish to enrol in “Dance Cirque” Classes
Rutherford - THURSDAY 4.00-5.00pm
Rutherford - SATURDAY 9.00-9.45am
Greta - MONDAY 5.15-6.15pm
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ACRODANCE - Acrobatic Skills for Dance (Rising Stars)Click “NEXT” if you do not wish to enrol in “Acrodance” Classes
Rutherford - THURSDAY 5.00-5.45pm
Rutherford - SATURDAY 9.45-10.30am
Greta - MONDAY 4.30-5.15pm
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SET THE SCENE! - ACTING Program for ages 5 years to Adult (Rising Stars)Click “NEXT” if you do not wish to enrol in “Set the Scene” Classes
Rutherford - TUESDAY 4.00-4.45pm
Greta - WEDNESDAY 4.00-4.45pm
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RISING SUPERNOVA - Competitive Dance Team (By Invitation)Click “NEXT” if you do not wish to enrol in “Rising Supernova” Class
Rutherford - TUESDAY 4.45-5.30pm
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Please scroll down for full details
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COMMERCIAL - Jazz/Hip Hop (Shining Stars)Click “NEXT” if you do not wish to enrol in “Commercial” Classes
Rutherford - WEDNESDAY 4.00-5.00pm
Greta - WEDNESDAY 5.30-6.30pm
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CONTEMPORARY - Modern/Lyrical Ballet (Shining Stars)Click “NEXT” if you do not wish to enrol in “Contemporary” Classes
Rutherford - WEDNESDAY 5.00-5.45pm
Greta - WEDNESDAY 4.45-5.30pm
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TAP (Shining Stars)Click “NEXT” if you do not wish to enrol in “Tap” Classes
Rutherford - WEDNESDAY 5.45-6.30pm
Greta - WEDNESDAY 6.30-7.15pm
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DANCE CIRQUE - Circus for Dancers (Shining Stars)Click “NEXT” if you do not wish to enrol in “Dance Cirque” Classes
Rutherford - THURSDAY 5.45-6.45pm
Greta - MONDAY 5.15-6.15pm
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ACRODANCE - Acrobatic Skills for Dance (Shining Stars)Click “NEXT” if you do not wish to enrol in “Acrodance” Classes
Rutherford - THURSDAY 5.00-5.45pm
Greta - MONDAY 4.30-5.15pm
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SET THE SCENE! - ACTING Program for ages 5 years to Adult (Shining Stars)Click “NEXT” if you do not wish to enrol in “Set the Scene” Classes
Rutherford - TUESDAY 5.30-6.15pm
Greta - WEDNESDAY 4.00-4.45pm
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SUPERNOVA - Competitive Dance Team (By Invitation)Click “NEXT” if you do not wish to enrol in “Rising Supernova OR Supernova” Class
Rutherford - TUESDAY 4.45-5.30pm - RISING SUPERNOVA - FOR NEWCOMERS (9 yrs and under)
Rutherford - TUESDAY 5.30-6.30pm - SUPERNOVA PERFORMANCE TEAM
Rutherford - TUESDAY 6.30-7.15pm - SUPERNOVA ACRO, SKILLS & TECHNIQUE
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Please scroll down for full details
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COMMERCIAL - Jazz/Hip Hop (Shooting Stars)Click “NEXT” if you do not wish to enrol in “Commercial” Classes
Rutherford - WEDNESDAY 6.30-7.30pm
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CONTEMPORARY - Modern/Lyrical Ballet (Shooting Stars)Click “NEXT” if you do not wish to enrol in “Contemporary” Classes
Rutherford - WEDNESDAY 7.30-8.30pm
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THEATRE (Shooting Stars)Click “NEXT” if you do not wish to enrol in “Theatre” Classes
Rutherford - TUESDAY 7.15-8.00pm
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TAP (Shooting Stars)Click “NEXT” if you do not wish to enrol in “Tap” Classes
Rutherford - WEDNESDAY 5.45-6.30pm
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DANCE CIRQUE - Circus for Dancers (Shooting Stars)Click “NEXT” if you do not wish to enrol in “Dance Cirque” Classes
Rutherford - THURSDAY 6.45-7.45pm
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ACRODANCE - Acrobatic Skills for Dance (Shooting Stars)Click “NEXT” if you do not wish to enrol in “Acrodance” Classes
Rutherford - THURSDAY 7.45-8.30pm
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SET THE SCENE! - ACTING Program for ages 5 years to Adult (Shooting Stars)Click “NEXT” if you do not wish to enrol in “Set the Scene” Classes
Rutherford - TUESDAY 5.30-6.15pm
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SUPERNOVA - Competitive Dance Team (By Invitation)Click “NEXT” if you do not wish to enrol in “Supernova” Class
Rutherford - TUESDAY 5.30-6.30pm - SUPERNOVA PERFORMANCE & SHOW TEAM
Rutherford - TUESDAY 6.30-7.15pm - SUPERNOVA ACRO, SKILLS & TECHNIQUE
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Please scroll down for full details
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COMMERCIAL - Jazz/Hip Hop (Super Stars)Click “NEXT” if you do not wish to enrol in “Commercial” Classes
Rutherford - MONDAY 7.00-8.00pm
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CONTEMPORARY - Modern/Lyrical Ballet (Super Stars)Click “NEXT” if you do not wish to enrol in “Contemporary” Classes
Rutherford - MONDAY 8.00-9.00pm
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THEATRE (Super Stars)Click “NEXT” if you do not wish to enrol in “Theatre” Classes
Rutherford - TUESDAY 7.15-8.00pm
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TAP (Super Stars)Click “NEXT” if you do not wish to enrol in “Tap” Classes
Rutherford - MONDAY 6.15-7.00pm
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DANCE CIRQUE - Circus for Dancers (Super Stars)Click “NEXT” if you do not wish to enrol in “Dance Cirque” Classes
Rutherford - THURSDAY 6.45-7.45pm
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ACRODANCE - Acrobatic Skills for Dance (Super Stars)Click “NEXT” if you do not wish to enrol in “Acrodance” Classes
Rutherford - THURSDAY 7.45-8.30pm
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SET THE SCENE! - ACTING Program for ages 5 years to Adult (Super Stars)Click “NEXT” if you do not wish to enrol in “Set the Scene” Classes
Rutherford - TUESDAY 5.30-6.15pm
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SUPERNOVA - Competitive Dance Team (By Invitation)Click “NEXT” if you do not wish to enrol in “Supernova” Class
Rutherford - TUESDAY 5.30-6.30pm - SUPERNOVA PERFORMANCE & SHOW TEAM
Rutherford - TUESDAY 6.30-7.15pm - SUPERNOVA ACRO, SKILLS & TECHNIQUE
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Terms and Conditions* This field is required.
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Photo Consent* This field is required.
I acknowledge and consent to allow Galaxy Talent Academy to use photos and/or videos of my child/myself in publications (such as flyers/brochures), advertisements (such as newspapers or online ads), our studio’s website, or on social media sites (such as the studio’s facebook or instagram account). I understand that in some cases, my child and/or my first name only may be used.
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Medical Information - outline any medical conditions we should be aware of for your child/yourself (if enrolling for yourself):
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Signature of Enrolling Parent/Guardian* This field is required.
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For our Class Package Payments, we require all students to have a DIRECT DEBIT authorisation (mandate) set up through our GoCardless. Please choose what is relevant to this enrolment below:* This field is required.
I am a NEW Client
I am an EXISTING Client - please use current details on file with GoCardless
I am an EXISTING Client, but would like to update my payment details through GoCardless
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Payment Frequency - please choose from the following:* This field is required.
Weekly
Fortnightly
Monthly
By the Term in Full (deducted Week 1 of each Term)
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REGISTRATION PAYMENT* This field is required.
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Galaxy Registration Fee 2025Payable at the start of each dance year
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