2026 STUDENT ENROLMENT FORM - Smithfield Studio
(Separate form required for each sibling in a family. All students require their own separate form).
STUDENT DETAILS
Student Name
*
First Name
Last 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
*
-
Day
-
Month
Year
Date
Student School and School Grade (if applicable)
Student Email Address (if applicable - mainly for seniors. Not a parent email)
example@example.com
Student Medical Conditions (if any):
Student Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PARENT / CARER DETAILS
#1 Parent/Carer Name
*
First Name
Last 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
First Name
Last Name
#2 Relationship to Student
#2 Emergency contact - Phone Number
'FUTURE STARS' Under 5's Program
Please select class/es to enrol your child in below. If you have any questions please feel free to contact us to discuss.
PLAYDANCE CLASSES
Playdance 'A" (2-3 yrs) - Fridays 9.00am-9.30am
Playdance 'B' (2-3 yrs) - Saturdays 8.30am-9.00am
'FUTURE STARS' BALLET-BASED CLASSES
Babies Ballet 'A' (3-4 yrs) - Fridays 9.40am-10.10am
Babies Ballet 'B' (3-4 yrs) - Saturdays 9.10am-9.40am
Kindy Ballet 'A' (4-5 yrs) - Fridays 10.15am-10.45am
Kindy Ballet 'B' (4-5 yrs) - Saturdays 9.45am-10.15am
Prep/Beginner Ballet 'A' (5-7 yrs) - Mondays 4.00pm-4.45pm
Prep/Beginner Ballet 'B' (5-7 yrs) - Saturdays 11.00am-11.45am
ADDITIONAL JAZZ/ACRO CLASSES AVAILABLE:
Kindy Jazz/Acro 'A' - Fridays 10.50am-11.20am
Kindy Jazz/Acro 'B' - Saturdays 10.30am-11.00am
Prep/Beginner Jazz/Acro - Saturdays 10.00am-10.45am
SMITHFIELD MAIN SCHOOL 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.
BALLET CLASS OPTIONS (foundation class)
Pre-Junior Ballet (6-8 yrs) - Tuesdays 3.45pm
Junior Ballet (8-10 years) - Mondays 3.45pm
Inter Ballet (10-12 years) - Mondays 4.30pm
Pre-Senior Ballet (12-15 years) Mondays - 5.30pm
ADDTIONAL SYLLABUS BALLET CLASS OPTIONS (**must attend BOTH ballet lessons to be eligible for exams)
Pre-Junior Ballet (learning Primary Syllabus) - Tuesdays 3.45pm & Thursdays 3.45pm
Junior Ballet (learning Gr. 2 Syllabus) - Mondays 3.45pm & Tuesdays 4.30pm
Inter Ballet (learning Gr. 4 Syllabus) - Mondays 4.30pm & Thursdays 5.15pm
Pre-Senior Ballet (learning Inter. Found Syllabus) - Mondays 5.30pm & Thursdays 6.15pm
JAZZ CLASS OPTIONS
Pre-Junior Jazz (6-8 yrs) - Tuesdays 4.30pm
Junior Jazz (8-10 yrs) - Mondays 4.45pm
Inter Jazz (10-12 yrs) - Mondays 5.30pm
Pre-Senior (12-15 yrs) - Tuesdays 6.30pm
TAP CLASS OPTIONS
Pre-Junior Tap (6-8 yrs) - Thursdays 4.30pm
Junior Tap (8-10 yrs) - Tuesdays 3.45pm
Inter Tap (10-12 yrs) - Tuesdays 5.15pm
Pre-Senior Tap (12-15 yrs) - Thursdays 7.15pm
CONTEMPORARY OPTIONS
Inter Contemporary (10-12 yrs) - Tuesdays 6.30pm
Pre-Senior Contemporary (12-15 yrs) - Tuesdays 5.30pm
ACRO CLASS OPTIONS
Junior Acro (8-11 yrs) - Saturdays 9.15am
Inter/Pre-Senior Acro (12+ yrs) - Saturdays 10.45am
** Must do at least 1 x ballet class per week to enrol in acro classes
HIP HOP CLASS OPTIONS
Please Select
Junior Hip Hop (8-10 yrs) - Wednesdays 4.00pm
Inter Hip Hop (10-12 yrs) - Wednesdays 4.45pm
Pre-Senior Hip Hop (12-15 yrs) - Wednesdays 5.30pm
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:
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