Enrolment Form 2020

Enrolment Form 2020

Before completing the form please make yourself familiar with our Terms and Conditions, Class Pricing & Timetable as listed in our Handbook.
Name

First Name Last Name
DOB
Parent's Name
Phone Number

Area Code Phone Number
Email
example@example.com

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Emergency Contact

First Name Last Name
Emergency Contact Number

Area Code Phone Number
Previous Dance Experience
Please list any medical conditions/allergies to be aware of
Preferred Classes

(please tick the box)
Classes

Ballet (Casual Class) Ballet (RAD Exam Class) Jazz Tap Contemporary Performance Team/Eisteddfod Groups Girls/Boys Hip Hop Stretch AcroDance Highland Pointe Class Ballet Theory
Do you wish to participate in RAD Classical Ballet Exams? (please note exams are an additional cost and your child will need to attend a minimum of two ballet classes a week to complete the exam.)

Yes No
Do you give permission for your child to be photographed/videoed during class/rehearsals and at times added to our website/social media gallery or newsletters?

Yes No
How did you hear about us?
Fees
1. You will be billed per term and payment, in full, is expected two weeks after the date of invoice. If payment is not received by this time you will receive a $30 late fee that will be applied to your invoice.
2. Refunds for missed classes are not offered.
I have read the TDF Handbook

Yes No
I agree to the Terms & Conditions and Fee Schedule in the Handbook

Yes No
By checking 'I Agree' below and submitting this form, you, the Parent or Guardian of the above student, agree to release "The Dance Factory", including instructors and assistants from liability for any and all injuries which may occur while training, practicing, performing, or during any studio event or activity. You also agree that you are responsible for health and accident insurance and any medical costs incurred due to injury. You give permission for emergency medical transportation and treatment of your student(s) at your expense should the need arise. You also give your permission for the teachers at "The Dance Factory" to use physical contact while teaching, E.g. assisting with posture.

I Agree I Disagree
Signature

Clear
Full Name

First Name Last Name
Date

Month Day Year
Date Date Picker Icon
Should be Empty:

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Enrolment Form 2020

Preferred Classes

Fees