DANCE1 Adult 2025 Enrolment Form

DANCE1 ENROLMENT FORM

ADULT STUDENT
CONTACT INFORMATION
Name
Date of Birth

DayMonthYear
Date
Home Address
Postcode
Phone
Email
DANCE1 will prioritise correspondence to this email address
Medical Conditions or Injuries
This information will be treated as confidential.
Additional Emergency Contact (Name and Phone)
Emergency contacts will only be notified if the primary parent or guardian cannot be reached

ENROLMENT OPTIONS
I wish to pay

BY TERM with fees paid upfront at the start of every TermCASUAL at $35 per class & book my class each week. I understand that by registering as Casual, classes must be booked no later than 24 hours before the class start time. I understand that without pre-booking my class, a casual spot may not be available on my chosen date.
TUITION DETAILS
FULL CLASS TITLE

Adult Jazz, Friday 9.30 - 10.30amAdult Tap, Friday 10.30 - 11.30amAdult Tap, Wednesday 6.00 - 700pm
TERM FEE PER CLASS: $125 (5 weeks in Term 4)

CASUAL PER CLASS: $35
Total Term Tuition
2025 DANCE1 Membership Fee
OPTIONAL SERVICES
2025 Annual BAND Subscription

$30
GRAND TOTAL

PAYMENT OPTIONS
Please select:

I wish to pay the first Term instalment in full. (BY TERM)I wish to pay the 2025 DANCE1 Membership Fee to secure my chosen class (CASUAL enrolments only)
PHOTO AND INJURY CLAUSE

DANCE1 may capture photographs, video footage, or other images during dance classes, performances, and related events. Theseimages may be used for promotional purposes on the DANCE1 social media, the DANCE1 website, and in other digital or printmarketing materials directly relating to DANCE1. Please indicate your preference here:
I DO/DO NOT give permission for DANCE1 to use my images for promotional and marketing purposes. I understand that my name and personal information will not be disclosed in any public media.

DODO NOT
I DO understand the risk associated with undertaking dance as a physical activity. I acknowledge that on the rare occasion ,accidents may occur through no fault of DANCE1 or its instructors. In this instance, I release DANCE1 and its instructors of any and all injuries & damage incurred by me.

DO
I DO understand that in the event of a forced shut down, DANCE1 will be unable to provide refunds or credits for classes missed or enrolments cancelled as a result. DANCE1 will revert to online classes for the duration of ANY forced shut down.

DO
I DO understand that DANCE1 communicates primarily via email and electronically. I am aware that DANCE1 provides all information in a timely manner and DANCE1 will ensure all parents have the access to this information & the opportunity to be well-informed.

DO
I HAVE read the DANCE1 Terms and Conditions listed on pages 8 & 9 of the 2025 Enrolment Information

HAVE
Signature

Clear
Date

DayMonthYear
Date
Please DO NOT make payment until you receive your invoice! The DANCE1 Office will email your 2025 Term 4 invoice based on your Enrolment Form and classes. Class places will only be confirmed together with payment and a completed 2025 Enrolment Form.
Should be Empty:

DANCE1 ENROLMENT FORM

CONTACT INFORMATION

ENROLMENT OPTIONS

TUITION DETAILS

OPTIONAL SERVICES

PAYMENT OPTIONS

PHOTO AND INJURY CLAUSE