2026 ENROLMENT FORM

ENROLMENT FORM 2026
NEW STUDENTRE REGISTERING AT THE STUDIO
FOR OFFICE USE
Ballet Adore 3-4Ballet Thrive 4-5Ballet Star Gr. RModern Jive 4-5Moder Star G. RAcro Alive 4-5Acro Star Gr. RTiny TappersMPP 3-4MPP 4-5MPP Gr. RNoah's ArkThe Little FellowshipKids AcademySea spritesMommy and MeHip Hop Jazz FusionPre-primary BalletPrimary BalletGrade 1 BalletGrade 2 BalletGrade 3 BalletGrade 4 BalletGrade 5 BalletGrade 6 BalletGrade 7 BalletGrade 8 BalletIntermediate FoundationIntermediateAdvance FoundationPoint classPre-primary ModernPrimary Modern1st Grade Modern2nd Grade Modern3rd Grade Modern4th Grade ModernFinal Grade ModernPre-ElementaryElementaryIntermediateAdvancedAcrobatics PrimaryAcrobatics Level 1Acrobatics Level 2Acrobatics Level 3Acrobatics Level 4Acrobatics Level 5Acrobatics Level 6Tap PrimaryTap 1st GradeTap 2nd GradeJunior ContemporarySenior ContemporaryAdvanced ContemporaryAdult BalletHip Hop Jazz FusionFunctional Training
Melani School of Dance has always respected the privacy, security and online safety of the members' personal information. We take our responsibility to protect their information very seriously. Information is stored in a file and / or on a computer. Once a member opts out of receiving information from Melani School of Dance, all information is immediately destroyed by shredding if printed on paper / deleting if stored on a computer. We assure you that your privacy remains our priority.
Dancer's Name (as per certificate)*

First NameLast Name
BalletBallet Point class (seniors)Modern DanceAcrobaticsContemporary (9yrs & older)Hip Hop Jazz FusionTapMommy and MeAdult ClassI AM NOT SURE (new student) Please contact me.
What school are you attending?
Grade at school 2026?*
Student ID Number for exam purposes (New Students)
Dancer's Date of birth*

MonthDayYear
Date
Age as per the 1st of January 2026*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mothers' Name*
Mothers' phone number*
Mothers' Email (general info)*
example@example.com
Fathers' name*
Fathers' phone number*
Method of payment*
ACCOUNT HOLDER ID Number*
Accounts Email*
example@example.com
My Products
prevnext( X )
Registration fee R250
Receive your free T-shirt on registration

250.00ZAR

Total

0.00ZAR
T-shirt size*
Please tick box as applicable. I agree to:
NEW STUDENTS
How did you hear about us? Who is your referral?
Contact details off referral if applicable
Previous dance experience?
Institution / Studio name?
Disclaimer: The information contained in this communication from the sender is confidential. It is intended solely for use by the recipient and others authorized to receive it.
Contact details
I hereby declare that I understand the terms and conditions and understand that this registration contract represents a financial commitment for the classes I have indicated above. I do hereby accept full responsibility for the full settlement of the account when it is due at the beginning of each month. I have read the registration information and understand the school's calendar and policies as outlined. I declare that all information submitted by me is complete and accurate.*

Clear
Notes to Teacher
Current Date

MonthDayYear
Date
44 days

MonthDayYear
Date
Should be Empty:

ENROLMENT FORM 2026

NEW STUDENTS

Disclaimer: The information contained in this communication from the sender is confidential. It is intended solely for use by the recipient and others authorized to receive it.