DTDA Registration Form 2026

Registration Form 2026
Starting date of classes:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
DANCER:

Please complete a new form for each dancer
Name of dancer:

First NameLast Name
Date of birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age today:
Academic School / Pre-School 2026:
If you answered 'Other' for school above, please enter your child's school name here:
Class at Academic School:
For example: Grade 2E1, or Bunny Class, or Mrs Sullivan
PERSON RESPONSIBLE FOR PAYMENTS:
Person responsible for payments/account holder/client:

First NameLast Name
I.D. Number (Hover here to see why we need this.)
Account holder's Email:
example@example.com
Account holder's 2nd Email: Please do not duplicate
example@example.com
Account holder's cell phone number
Please enter a valid phone number.Format: (000) 000-0000.
Account holder's 2nd cell phone number: Please do not duplicate
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to dancer:
DANCE STYLES:
Dance style(s):

Other
Number of dance classes per week:
If you selected 'More' above, please indicate how many classes you will attend:
FEES:
SECOND PARENT:
Fee amount payable over 11 months (Feb to Dec) - hours quoted are per week:
Second parent/guardian:

First NameLast Name
Second parent/guardian e-mail address:
Second parent cell phone number:
Please enter a valid phone number.Format: (000) 000-0000.
EMERGENCY CONTACT OTHER THAN PARENTS:
Emergency Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
LEGAL:
Frequency of payment and notice:
Terms and conditions:
POPIA Act permissions (Hover here to see why we need this):

I agree that: My child may be photographed and recorded for dance school purposes. My child's photograph and/or recorded images or videos may be posted on social media, Whatsapp groups and used for promotional material. You may send me e-mails, Whatsapps, sms's and social media messages. You may call me. I agree to and take note of the POPIA terms included herewith as per POPIA Act South Africa.
Registration Fee:
First monthly instalment:
Signed at (Place/Town):
Signed on (Date):

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature - Sign with finger on screen of phone/table or with mouse on desktop/laptop:
New students - how did you hear of us?
Should be Empty:

Registration Form 2026

DANCER:

PERSON RESPONSIBLE FOR PAYMENTS:

DANCE STYLES:

FEES:

SECOND PARENT:

EMERGENCY CONTACT OTHER THAN PARENTS:

LEGAL: