2026 ENROLMENT FORM

ENROLMENT FORM 2026
Indicate if you are a NEW student or re registering at the studio?
FOR OFFICE USE
CLASS ALLOCATION
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
REGISTER FOR
What school are you attending?
Grade at school 2026?
Student ID Number for exam purposes (New Students)
Dancer's Date of birth

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

250.00 ZAR

Total

0.00 ZAR
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.
Notes to Teacher
Current Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
44 days

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

ENROLMENT FORM 2026

My Products

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.