2026 Student Registration
Please complete this form to enrol or trial classes with Harbourside Physie & Dance in 2026. Fields marked * are required.
Registration Type
*
New Student - 2 Free Trial classes
Returning Student - Enrol for 2026
Student's Name
*
First Name
Last Name
Student's Date of Birth
*
-
Day
-
Month
Year
Date
Student's Age @ 31 August 2026
*
Age before 1st September determines age group.
Class Selection
Please select which classes you will be attending.
Monday - Ascot
5-8 years
9-12 years
13-15 years
16-Intermediate Seniors
Beginner, Novice
Intermediate, Masters
Tuesday - Wynnum
5-8 years
9-12 years
13-15 years
16-Intermediate Seniors
Beginner, Novice, Intermediate, Masters
Open Advanced
Open Elites
Thursday - Manly West
13-15 years
16-Intermediate Seniors
Beginner, Novice, Intermediate, Masters
Open Advanced
Saturday - Manly
Open Elites
3-4 years Tiny Tots
5-8 years
9-12 years
How many consecutive full years have you completed with Harbourside (up to the end of LAST year)? Please do NOT count the year you’re registering for.
0 New student
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
This helps us track 5-year badge eligibility.
Singlet Size
Child 2
Child 4
Child 6
Child 8
Child 10
Child 12
Ladies XS
Ladies S
Ladies M
Ladies L
Ladies XL
Ladies XXL
Registration singlet - limited stock available
Medical Conditions
Contact Details
Please provide the best details for communication
Primary Email
*
example@example.com - For newsletters and event information
Primary Contact Number
*
For urgent communication
Emergency Contact Details
Please provide details of the best parent, guardian or emergency contact.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Mobile Number
*
How did you hear about us?
Returning Student
Social Media
Friend
Flyer
Other
Photographic Consent:
*
Yes - I give permission for any photographic material taken at competitions or club activities to be used for Harbourside Physie & Dance advertising purposes or newsletters.
Other
By registering I agree and accept all Terms and Conditions attached. Attendance at Harbourside Physie & Dance is dependent on acceptance of these Terms and Conditions.
*
I have read, understood and accept the General Rules, Code of Conduct and Terms & Conditions for attendance at Harbourside Physie & Dance.
Submit
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