Enrolment Form 2025

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Student Name* This field is required.

First Name

Last Name

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Student Birth Date* This field is required.

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Student T-Shirt Size (for free T-shirt on Enrolment):* This field is required.

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Active Kids Voucher Number (if using):

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Parent/Carer Name* This field is required.

First Name

Last Name

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Phone Number* This field is required.

Area Code

Phone Number

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Email* This field is required.

example@example.com

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Emergency Contact Name* This field is required.Different 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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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

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LITTLE STARS DANCE please enrol me in:Click “NEXT” if you do not wish to enriol 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 - TUESDAY 4.00-4.45pm

Rutherford - SATURDAY 9.00-9.45am

Greta - MONDAY 3.45-4.30pm

Greta - MONDAY 4.30-5.15pm

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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

Rutherford - WEDNESDAY 5.45-6.30pm

Rutherford - SATURDAY 10.30-11.15am

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

Rutherford - SATURDAY 11.15-11.45am

Rutherford - SATURDAY 10.30-11.15am

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 4.00-4.45pm

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 4.45-5.30pm

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

Rutherford - WEDNESDAY 5.00-5.45pm

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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COMMERCIAL - Jazz/Hip Hop (Shining Stars)Click “NEXT” if you do not wish to enrol in “Commercial” Classes

Rutherford - TUESDAY 4.45-5.30pm

Rutherford - WEDNESDAY 4.45-5.45pm

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 - TUESDAY 4.00-4.45pm

Rutherford - WEDNESDAY 4.00-4.45pm

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 5.30-6.30pm

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 4.45-5.30pm

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

Rutherford - WEDNESDAY 5.00-5.45pm

Greta - WEDNESDAY 6.30-7.15pm

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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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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 6.30-7.30pm

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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 7.30-8.15pm

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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 6.15-7.00pm

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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 6.30-7.30pm

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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 7.30-8.15pm

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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 6.15-7.00pm

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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.

I do not agree to the previous statement and ask that no photographs be taken of my child.

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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.

My Bag

1

Galaxy Registration Fee 2025Payable at the start of each dance year
$50.00AUDEdit
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Payment Methods

Credit Card

First Name

Last Name

Apple Pay

After submitting the form, you will be redirected to the Apple Pay to complete the payment.