Acting Up Enrolment Form
Please complete the form to enroll your child in the Acting Up program for 2025
Parent/Guardian 1 Contact Details
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Parent/Guardian 2 Contact Details
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email Address (Optional)
example@example.com
Emergency Contact (Not the same as Guardians 1 & 2)
Incase both guardians cannot be contacted
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Emergency Contact Relationship to Student/s
*
Student Information
Student 1 Full Name
*
First Name
Last Name
School Name and Grade 2025
*
Student 2 Full Name (if applicable)
First Name
Last Name
School Name and Grade 2025
Student 3 Full Name (if applicable)
First Name
Last Name
School Name and Grade 2025
Is there any additional information we should be aware of? (e.g. medical conditions, allergies, injuries, or any specific actions we may need to take for your enrolled student/s)
Photography and Media Consent
I give permission for Acting Up to use photographs and/or video footage of my child for promotional and educational purposes. This may include (but is not limited to) printed materials such as brochures, programs, or newsletters, as well as online and offline advertising, including social media and digital platforms. By signing this form, I understand and accept that my child’s image may be used in print, video, or digital media without further notice. I acknowledge that no identifying details, such as surname or location, will be included alongside any images or footage.
I agree to the above Photography and Media Consent
*
YES
NO
Health Information and Waiver Form
I consent to my child participating in Acting Up classes and activities. I understand that every effort will be made to contact me prior to any medical treatment being provided. If I cannot be reached in an emergency, I authorise the Acting Up team to seek necessary medical assistance for my child, including treatment, emergency transport, hospitalisation, and medication.
I agree to the above Health Information/Waiver Form
*
YES
NO
Payment Fees
I understand there is an annual enrolment fee of $15 per student, which covers public liability, admin and copyright material for 2025. I acknowledge that term fees are also required and are non-refundable and non-transferable. Payments are issued by invoice and can be made via electronic funds transfer. If my child/ren cannot attend their group lesson, I understand that no 'catch-up' lesson will be available; however, if the class is cancelled for any reason, Acting Up will provide any required 'catch-up'.
I agree to the above payment of fees by the due date
*
YES
Drop off and Pick Up
Students will need to be dropped off and picked up promptly for their lesson from International Dance Affair Studio North Mackay (Hodder Street Entrance). Miss J will walk from St Josephs and be at the studio by 3:15pm to supervise; guardians are required to stay with their child until then. Students are supervised by a trusted adult at all times before, during and after their lesson.
I agree to being able to pick up AND drop off my child promptly for their lesson
*
YES
My child/ren will need to walk WITH Miss J from St Josephs to the IDA studio after school (applicable for students of St Josephs)
Parent/Guardian Signature
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