New Garba Student Form

Student Name

First NameLast Name

Parent or Guardian (if under 18)

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Email

example@example.com

Date of Birth

Date

Have you learned dance before? Which dance form?

Are you a beginner, intermediate, or advanced dancer?

Medical Information Do you have any health issues I should know about? (Allergies, acid reflux, vocal injuries, etc.)

If yes, please Provide Details

What goals would you like to focus on in your lessons?

Please select training centre

What length of lesson would you like to take?

How often would you like to take lessons?

Is there anything else you’d like me to know?

What is your payment preference? Lesson payment for the month is due at or before your first lesson of each month.

There is a 24 hour cancellation policy, so please let me know at least 24 hours before your appointment if you need to cancel or reschedule. There are no refunds for cancelled lessons. There is studio credit for all lessons that have been cancelled with more than 24 hours notice, which may be rescheduled. Please remember the full rate is charged for any lesson that is cancelled or rescheduled with less than 24 hours notice.

I’d like to stay in touch with you! I promise to only send you emails regarding being a student of my class or information which will have value to you as a student.

Public Liability & Personal Property Sanskriti Junction maintains Public Liability Insurance for its activities. Participants acknowledge that Public Liability Insurance does not replace personal accident or health insurance. Participants are encouraged to maintain their own medical and personal accident insurance. Sanskriti Junction is not responsible for the loss, theft or damage of personal belongings brought to classes or events. Liability Waiver To the fullest extent permitted by Australian law, I acknowledge that: I participate in Sanskriti Junction programs at my own risk. I am responsible for my own health and physical condition. I release Sanskriti Junction, its directors, employees, instructors, volunteers, contractors and venue providers from liability for injury, illness, loss or damage arising from my participation, except where caused by negligence or where liability cannot legally be excluded. I understand this waiver does not exclude any rights I may have under the Australian Consumer Law.

Signature

New Dance Student Registration - 2026