2026 Central Qld Apda Club Registration Form.

Central Qld APDA Dance Inc 2026 Club Registration Form

Please Note: Official APDA Registration is done separately. This link will be sent to members when registrations open in 2025.
Dancers Full Name*

First NameLast Name
Dancers Date of Birth*

DayMonthYear
Date
Dancers Age as at 31 August 2026.*
Dancer/Contact 1 - Address*

Street Address

Street Address Line 2

CityState

Postcode
E-mail*

Confirmation Email
Contact Mob/Phone Number*
Permission for Central Qld APDA Dance Inc to post member/’s photo(s) on website, social media, flyers, brochures and programs. Note: Should you select No: * A photo may still be taken (eg class photo, teams' photos and Peak will conceal your dancer's face prior to use. * you / your dancer may be asked to step out of the photo. The Club would appreciate parents have a caring discussion with their child about this, so they understand your privacy request.*

YesNo
Member Signature required for permissions or Parent/Guardian signature *
please type parent name in full here

In the case of emergency, do you give permission for our teachers to call QLD Ambulance and/or perform first aid for you/your dancer?

YesNo
Do you/your dancer have any medical conditions that we should be aware of - allergies, anaphylaxis, disability, illness for example. diabetes, asthma or other? If YES please provide details*
2026 TERMS AND CONDITIONS

PAYMENTS

All payments must be paid on or before the due date. If the payment is not received 1 week after the due date the student may not be able to participate in class until the payments are up to date.

Electronic payments can be made via the 'How to Pay' section on the bottom of your invoice.

When making a payment via bank transfer please reference the student’s FULL name.

All forms of payment details will be listed on invoices.

All payments and deposits to Central Qld APDA Dance Inc non-refundable unless agreed upon by Central Qld APDA Dance Inc under exceptional and extreme circumstances.

EFTPOS

Is available at class.

CLASS FEES

Class fees are charge as an annual payment of $600.

If you choose, the club can invoice you in 3 instalments. Last payment due April 30 2026.

There are no makeup or refunds for missed classes. Fees should be paid within the due date, and will incur a late fee if paid beyond this date.

CODE OF CONDUCT

Dancers are to abide by the APDA's Member Code of Conduct which will be emailed to you upon registration.

I have read and agree to abide by the Terms and Conditions of Central Qld APDA Dance Inc.
Do you agree at the above mentioned TERMS AND CONDITIONS*

YesNo
Name*

First NameLast Name
Signature*
Please type name in full here
What is your preferred payment option?

Annual PaymentX3 Instalments
Privacy Statement
APDA is committed to providing you with the highest levels of membership service. This includes protection of your privacy. We are bound by the sections of the Commonwealth Privacy Act (1988) which sets out principles concerning the protection of individual’s personal information. For further information, please refer to APDA’s Privacy Policy or contact us at info@phsyieanddance.com
Should be Empty:

Central Qld APDA Dance Inc 2026 Club Registration Form