enrolmentsuad

On-line Enrolment - Step Up and Dance

I wish to enrol *

Year

Term*

Please Note: * indicates required field

Full Name of Student *

Date of Birth *

use dd/mm/yyyy

Your Contact Details

Full Name of Parent or Guardian *

Street / Mailing Address *

Suburb or Town *

Postcode *

State *

Your Email *

Phone Number *

include area code or mobile number

Emergency Contact Name *

Mobile No. *

Corresponding hard copy enrolment form A

Please select the appropriate program(s) in each category as applicable

Mini Steppers 18 mths - 3 years Mon & Thurs

Toddlers combo class Kinder Gym Kinder Aerial

Tiny Tots - 3-5 yrs Monday & Thursday

Combo Class (Ballet, Tap, Jazz) Tiny Tots Acrobatics Tiny Tots Contemporary (ballet is required) Tiny Tots Hip Hop

Tiny Tots 3-5 yrs Saturday

Combo Class (Ballet/Tap/Jazz) Tiny Tots Tumbling Tiny Tots Cheer Tiny Tots Aerial Contemporary (sub-jnr, entry at teacher's discretion)

Tiny Tots Company

Tiny Tots Company (Ballet & Jazz required)

Sub Junior 6-8yrs

Sub Junior Company (Ballet & Jazz required)

Sub-Junior Company

Junior 8-11yrs

Junior Company (Ballet, Jazz & Stretch and strenth required)

Junior Company

Corresponding hard copy enrolment form B

Intermediate

Intermediate Company (Ballet, Jazz and Stretch & strength required

Intermediate company

Private lessons

Private lessons - Intermediate Private lessons - Senior

Senior

Senior Company (Ballet and Jazz required)

Senior Company

Corresponding hard copy enrolment form C

Adult

Consent *

I certify that my child is in good health and may particiapate in any of the activities at Step Up and Dance Dance Studios I have read the Step Up and Dance Dance Studio's Policy & Guidelines and understand its contents In the case of my child requiring emergency medical treatment, I authorise Step Up and Dance Dance Studios' teaching faculty to arrange for my child to be taken to a medical or hospital facility

Does the student have any medical conditions we should be aware of? *

Yes No

Please provide details if yes

Date *

dd/mm/yyyy

Acknowledgement *

I acknowledge that enrolment will only become valid upon the payment of the Compulsory Enrolment Fee (non refundable).

Please note, on submitting your form you will be re-directed to a page outlining your payment options for the payment of the Compulsory Enrolment Fee.