2026 Preschool Student Enrolment Form

2026 Pre-school Student Enrolment Form
Student 1 Name

First NameLast Name
Student 2 Name

First NameLast Name
Student 1 Date Of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student 2 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent / Guardian 1 Name

First NameLast Name
Parent / Guardian 2 Name

First NameLast Name
Address (child’s primary residence)

Street Address

Street Address Line 2

CityState

Post Code
Parent / Guardian 1 Mobile
Format: 0000 000 000.
Parent / Guardian 2 Mobile
Format: 0000 000 000.
Parent / Guardian 1 Email Address
example@example.com
Parent / Guardian 2 Email Address
example@example.com
Student 1 Medical Information (if applicable)
Student 2 Medical Information (if applicable)
Preferred Class
I, whose signature appears below in consideration of and as a condition of acceptance of my entry in this event, for myself, my heirs, executors and administrators,hereby waive all and any claim, right or cause of action which I or they might otherwise have for or arising out of loss of my life or injury, damage or loss of any description whatsoever which I may suffer or sustain in the course of or consequent upon my entry or participation in the said event. I will abide by the studio rules.
Signature
By signing this enrolment form, you give full rights to Bellarine Academy of Dance and it's staff, to use photo or video images of you and your child for promotional purposes of the studio only. Photo and video images will not be used for any other purpose. Should this create any concerns please feel free to contact the school.
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2026 Pre-school Student Enrolment Form