2026 FUTURE STARS PROGRAM Enrolment Form

2026 STUDENT ENROLMENT FORM 'FUTURE STARS' Under 5s PROGRAM

(Separate form required for each sibling in a family. All students require their own separate form).
STUDENT DETAILS
Student Name*

First NameLast Name
Enrolment Status*

Existing FNQDA student (current, was enrolled 2025)New student, existing family (new sibling. Current family account)New Student, new family (no active account)
Student Date of Birth*

DayMonthYear
Date
Student Medical Conditions (if any):
Student Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PARENT / CARER DETAILS
#1 Parent/Carer Name*

First NameLast Name
#1 Parent/Carer Relationship to Student*
#1 Parent/Carer Contact Mobile Number*
#1 Parent/Carer Email (primary contact point. Newsletters & invoices) *
example@example.com
Optional additional parent email address for correspondence & invoices
example@example.com
#2 Emergency Contact - Name (optional)

First NameLast Name
#2 Relationship to Student
#2 Emergency contact - Phone Number
CLASS OPTIONS

Please select class/es to enrol your child in below. If you have any questions please feel free to contact us to discuss.
**CITY STUDIO CLASS OPTIONS **

City Studio: 168 Draper St, Portsmith
BOYS TINY-TOTS CLASS (3-6 yrs)
PLAYDANCE CLASSES (2-3 yrs)
Parent/carer attends with child to facilitate participation & class structure
'FUTURE STARS' BALLET BASED CLASSES (3-6 yrs)
ADDITIONAL JAZZ/ACRO CLASSES AVAILABLE:
*SMITHFIELD STUDIO CLASS OPTIONS*

'Dancehouse' 56 Cheviot St, Smithfield
PLAYDANCE CLASSES
Parent/carer attends with child to facilitate participation & class structure
'FUTURE STARS' BALLET-BASED CLASSES
ADDITIONAL JAZZ/ACRO CLASSES AVAILABLE:
CONDITIONS OF ENROLMENT:*

I understand that while the upmost of care is taken, participation in dance classes carries a risk of physical injury. Each student participates at their own risk and teachers/staff of FNQ Dance Academy are not liable for any injuries sustained during classes.I appreciate that dance is a tactile art form and student/teachers will have physical contact in class.I give permission to use photographs/videos of the above student for publicity & memorabilia purposes. (OR: If permission is not given I will personally email sarah@fnqdanceacademy.com.au with student details for follow-up and flagging. Note: it is the student/parent responsibility to remove themselves from announced group photos where possible)I will ensure my child and I both understand the Academy Code of Conduct and School Rules and will help to enforce them with positivity (displayed at studios & available via email)
Any additional info you wish to tell us:
Should be Empty:

2026 STUDENT ENROLMENT FORM 'FUTURE STARS' Under 5s PROGRAM

STUDENT DETAILS

PARENT / CARER DETAILS

CLASS OPTIONS

**CITY STUDIO CLASS OPTIONS **

*SMITHFIELD STUDIO CLASS OPTIONS*

CITY STUDIO CLASS OPTIONS

SMITHFIELD STUDIO CLASS OPTIONS