IPA Enrolment Form 2026

Students Name

First NameLast Name

DOB

Date

Parents Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Studio Handbook - Please Read before Enrolling (See 'Studio Handbook' Tab on our website)

How did you hear about us?

Have you danced before

Medical Conditions (List and Advise of Plan)

Which Level are you?

Ballet

How many ballet classes would you like to take (exam students and performance team students must do 2 x classes a week)

If only doing 1 x ballet class, which days would you like to attend (please see timetable for your options)

What styles would you like to take? (Petite - Senior ONLY) Please refer to the timetable on our website to help answer this question.

Pre School Program ONLY - What day would you like?

Pre School Program ONLY - Ready Set Ballet (30mins)

Pre School Program ONLY - Ready Set Dance (45mins)

Photography and Social Media - By agreeing you acknowledge that your child will be in the concert DVD and you give permission for any footage or photos to be used as advertising or marketing material without any further approval

Payment Options - How would you like to be invoiced

Health and Safety - By agreeing you understand that although IPA takes all reasonable care in the conduct and safe dance of its classes that personal injury can occur and Influence PA and its staff will not be held responsible.

Must be checked before clicking Submit

IPA 2026 Enrolment Form