Enrolment & Registration form

Mini Movers Enrolment & Registration Form

Please complete the below enrolment form with all parent/carer and student details, be aware these details are kept confidential only relevant details (including medical notes that are relevant to dance class) will be shared with your child's teacher.
Parent/Carer Details

Please enter details for 2 parent or carer contacts below
Parent/Carer Contact 1- Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Carer-Phone Number*

Phone Number
E-mail*
example@example.com
Parent/Carer Contact 2 *

First NameLast Name
Parent/Carer Contact 2-Phone Number*

Phone Number
Contact 2 E-mail*
example@example.com
Your Child/ Childrens details

Please enter all details for your child, if enrolling more than one child fill out a seperate section for each
Child 1 Full Name*

First NameLast Name
DOB *

MonthDayYear
Date
Current Age*
Would you like to enrol for the term or enrol for casual Sunday classes? *
Which class are you wanting to enrol in/or trial please note free trial only available for Mini Jazz Monday, Tots Friday:*
If you would like to enrol in Sunday casual classes, please select your dates below:

Sunday 31st AugSunday 7th SepSunday 14th SepSunday 21st Sep
Does your child have any medical conditions or allergies we should be aware of (including asthma, allergies to medications or food or any behavioural concerns) *

Child 2 Full Name (only fill out this section if you are enrolling a 2nd child as well)

First NameLast Name
Child 2 DOB

MonthDayYear
Date
Current Age
Would you like to enrol for the term or sign up for a trial class?
Which class are you wanting to enrol in:
Does your child have any medical conditions or allergies we should be aware of (including asthma, allergies to medications or food or any behavioural concerns)

Please sign below to acknowledge the following terms and conditions:

- When signing up for a Tots or Mini Jazz class you will need to stay in the waiting area throughout class or confirm your contact details with your teacher so we can contact you during class if needed.

- When signing up for Cherubs or Mini & Me class, you agree that one parent or carer will participate in the class with the child. Other guests will need to stay in the waiting area (except for siblings if required)

- You have informed us of any relevant medical information regarding your child/children

- You will receive an email with confirmation of your enrolment or trial and an invoice to be paid within 7 days of receipt.
Please sign here:*

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Thanks for enroling with Mini Movers, we can't wait to get your little one dancing!
We would love to use Mini Movers social media and advertising to help promote a small business. Therefore please let us know if you give permission for photo's taken within class (of yourself or your child) to be used in this context.*

YESNO
How did you hear about us:*
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Mini Movers Enrolment & Registration Form