FNQDA - NORTHERN BEACHES: 2025 Enrolment Form

2025 STUDENT ENROLMENT FORM NORTHERN BEACHES STUDIO 'Dancehouse' - 56 Cheviot St, Smithfield

(Separate form required for each sibling in a family. All students require their own separate form. Re-enrolment only required once per year).
STUDENT DETAILS
Student Name*

First NameLast Name
Enrolment Status*

Existing 'Dancehouse' student or family (was enrolled 2024)Existing 'FNQDA' student or family (Current family account)New Student, new family (no active account)
Student Date of Birth*

DayMonthYear
Date
Student School and School Grade (if applicable)
Student Email Address (if applicable - mainly for seniors. Not a parent email)
example@example.com
Student Medical Conditions (if any):
Student Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PARENT / CARER DETAILS
#1 Parent/Carer Name*

First NameLast Name
#1 Parent/Carer Relationship to Student*
#1 Parent/Carer Contact Mobile Number*
#1 Parent/Carer Email (primary contact point. Newsletters & invoices) *
example@example.com
Optional additional parent email address for correspondence & invoices
example@example.com
#2 Emergency Contact - Name

First NameLast Name
#2 Relationship to Student
#2 Emergency contact - Phone Number
CLASS OPTIONS

Please select class/es to enrol your child in below. If you have any questions please feel free to contact us to discuss.
** PARENT-ASSISTED CLASSES (2-3 yrs) **

Parent/carer attends with child to facilitate participation & class structure
PLAYDANCE CLASSES
** STARS OF THE FUTURE: PRE-SCHOOL PROGRAM (3-7 yrs) **

Students attend / participate independently. Parents stay in waiting area.
GENERAL MOVEMENT / BALLET CLASSES
Select preferred class day for correct age group
ADDITIONAL CLASS AVAILABLE
** MAIN STUDIO CLASSES (6-14+ yrs)**
BALLET CLASS OPTIONS
BALLET - EXTENSION OPTIONS
Must also do 'Foundation' level ballet class to enrol
JAZZ CLASS OPTIONS
TAP CLASS OPTIONS
LYRICAL / CONTEMPORARY OPTIONS
ACRO / STRETCH CLASS
** ADULT CLASSES **
ADULT PILATES & STRETCH CLASS
CONDITIONS OF ENROLMENT:*

I understand that while the upmost of care is taken, participation in dance classes carries a risk of physical injury. Each student participates at their own risk and teachers/staff of FNQ Dance Academy are not liable for any injuries sustained during classes.I appreciate that dance is a tactile art form and student/teachers will have physical contact in class.I give permission to use photographs/videos of the above student for publicity & memorabilia purposes. (OR: If permission is not given I will personally email sarah@fnqdanceacademy.com.au with student details for follow-up and flagging. Note: it is the student/parent responsibility to remove themselves from announced group photos where possible)I will ensure my child and I both understand the Academy Code of Conduct and School Rules and will help to enforce them with positivity (displayed at studios & available via email)
Any additional info you wish to tell us:
Should be Empty:

2025 STUDENT ENROLMENT FORM NORTHERN BEACHES STUDIO 'Dancehouse' - 56 Cheviot St, Smithfield

STUDENT DETAILS

PARENT / CARER DETAILS

CLASS OPTIONS

** PARENT-ASSISTED CLASSES (2-3 yrs) **

** STARS OF THE FUTURE: PRE-SCHOOL PROGRAM (3-7 yrs) **

** MAIN STUDIO CLASSES (6-14+ yrs)**

** ADULT CLASSES **

PARENT-ASSISTED CLASSES (2-3 yrs)

STARS OF THE FUTURE: PRE-SCHOOL PROGRAM (3-7 yrs)

MAIN STUDIO CLASSES (6-14+ yrs)

ADULT CLASSES