2025 Enrolment Form
Welcome to Street N Stage! Thank you for choosing us to accompany you on your dance journey. Please only use one application form per individual.
Student's FULL NAME
First Name
Middle Name
Last Name
Student's ADDRESS
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student's CONTACT MOBILE (Please use contact of primary guardian for under 16s.)
Please enter a valid phone number.
Format: (00) 000-000-000.
Student's CONTACT EMAIL (Please use contact of primary guardian for under 16s.)
example@example.com
EMERGENCY CONTACT
*
NAME - CONTACT NUMBER - RELATIONSHIP TO STUDENT
Please select your AGE RANGE (the age you are turning this year).
Kids (4-8 years)
Juniors (9-13 years)
Teens (14-18 years)
Adults (16+ years)
Please select ALL CLASSES you are interested in enrolling in.
Urban Grooves (Hiphop)
Bend & Flex (Acro Dance)
Jazz It Up (Jazz)
Keep It Funky (For Adults Range Only)
LIABILITY RELEASE & MEDIA CONSENT
By signing this: • I agree to release ALL liability, injury, damage and loss of property. • I agree to abiding by the terms and conditions given in our given Information Guide. • I agree to allow Street 'N' Stage staff and/or external event organisations to film and/or take photos to publish for future marketing shots for Street 'N' Stage.
Please Sign Here
Submit
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