Enrol Now Dance Theatre | Dance Classes in Melbourne

Fill in this form to process your enrolment. You will not be asked for your credit card details.
Name*
Date of Birth*
Date Format: MM slash DD slash YYYY
Age at 01/01/2018
Address
Postcode
T-Shirt Size*
- Child
- Adult
Parent/Guardians #1
Relationship
Address
Postcode
Contact Email*
Contact Number*
Parent/Guardian #2
Relationship
Address
Postcode
Contact Email
Contact Number
Dance Styles for Enrolment*
- Classical
- Contemporary
- Jazz
- Tap
- Acrobatics
- Hip Hop
- Stretch & Conditioning
- Theatrical & Voice
- Performance Group
- Examinations
- Private Lessons
Dance Experience
Styles Studied Number Of Years Level Attained/Syllabus Studio/s
Medical Condition/s
Medications Currently Taking
Medicare Number
Health Insurance Provider
Number
Conditions of Enrolment:*
Consent is given for physical contact that may be necessary to demonstrate exercises or techniques, make corrections to posture, offer assistance or administer first aid.
- Yes
- No
*
I Parent/Guardian deem my child to be of a fit capacity to participate in Dance Theatre Classes and Associated Activities. I will not hold members, volunteers and/or staff of Dance Theatre responsible for any injury sustained during my child’s participation and I authorise representatives of the event to seek first aid as required by my child, should the need arise.
- Yes
- No
Participants will be forwarded a confirmation Email once payment and enrolment have been processed. Your class schedule will be emailed on or before February 10 th 2018.
Name
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Styles Studied	Number Of Years	Level Attained/Syllabus	Studio/s