Lil Groovers 2025 Enrolment Form

1
Student Age* This field is required.
Please Select
Please Select
1
2
3
4
5
2
Select the day/days you'd like your child to dance at the desired locationSelect as many days as you like and we will come back to you with the best class options for your child!
Please Select
GOOGONG CLASSES
Monday Morning GOOG
Wednesday Afternoon GOOG
Thursday Morning GOOG
Thursday Afternoon GOOG
Saturday Morning GOOG
QUEANBEYAN CLASSES
Tuesday Morning QBN
Friday Morning QBN
Saturday Morning QBN
BUNGENDORE CLASSES
Tuesday Afternoon BDORE
Wednesday Morning BDORE
Wednesday Afternoon BDORE
Thursday Afternoon BDORE
Saturday Morning BDORE
3
Student Full Name* This field is required.
4
Student Date of Birth
5
Parent Name* This field is required.
First Name
Last Name
6
Parent Email* This field is required.
example@example.com
7
Parent Phone Number* This field is required.
Please enter a valid phone number.
8
Primary Address
9
Do you give consent for photos/videos of your child to be used/posted on social media?
YESNO
Should be Empty: