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2017 Information & Enrolment
2017 enrolment form
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Terms and conditions 2017
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35 kb
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2017 Enrolment form
Before completing the below 2017 enrolment form please familiarise yourself with our terms and conditions.
Dancer's Details
Dancer's Name
*
First
Last
Please put the name of your child here.
Dancer's DOB
*
Your child's date of birth
Dancer's Gender
*
Female
Male
Does your dancer have any pre-existing medical conditions or allergies? If Yes please specify.
*
If your child does not have any allergies or medical conditions please put 'nil' in this box.
Parent or Guardian's Details
Parent or Guardian's Name
*
First
Last
Relationship to dancer (example: Mother)
*
Phone Number
*
Email
*
Please double check you have entered the correct email address.
Address
*
Line 1
Line 2
City
State
Zip Code
Country
This is the address we will use to send your child a birthday card.
In Case of Emergency Contact Details
Emergency Contact Name
*
First
Last
Relationship to Dancer
*
example: Father
Emergency contact Phone Number
*
Bill Payers Details
Bill payers Name
*
First
Last
Bill Payers Phone Number
*
Bill payers Email
*
Bill payers Address
*
Line 1
Line 2
City
State
Zip Code
Country
Enrolment
Please select the day and location you would like to enrol your dancer in for 2017.
Select One
*
Mondays at East Lindfield
Wednesdays at East Lindfield
Thursdays at Gordon
Fridays at Willoughby
Saturdays at Lindfield
Select the day you would like your dancer to attend classes.
Please select the class(es) you would like to enrol your dancer in for 2017
Preschool AGED CLASSES
*
Dance with Me (1 and 2 year olds)
Tiny Itty Bitty Dancers (3 year olds)
Pre-Primary (4 and 5 year olds)
Primary School aged classes
*
Primary Ballet (Kindergarten and Year One)
Primary Jazz (Kindergarten and Year One)
Primary Tap (Kindergarten and Year One)
Mixed Hip Hop (Kindergarten to Year Three )
Preschool aged classes
*
Pre-school Tap (3-5 year olds)
Pre-school Hip Hop
Primary School aged classes
*
Boys Only Hip Hop (Kindergarten to Year Three)
Junior Ballet (Year Two and Year Three)
Junior Jazz (Year Two and Year Three)
Junior Tap (Year Two and Year Three)
Acceptance of Terms and Conditions
I have read the Itty Bitty Dance terms and conditions and I understand and agree to these conditions. I understand and agree that Itty Bitty Dance will not accept any liability for loss or damage of persons or property whilst at Itty Bitty Dance classes.
Name
*
First
Last
Name of person accepting the terms and conditions
Choose One
*
I have read the Itty Bitty Dance terms and conditions and I understand and agree to these conditions. I understand and agree that Itty Bitty Dance will not accept any liability for loss or damage of persons or property whilst at Itty Bitty Dance classes.
Submit
✕
