Re-Enrolment Form
Before completing the form please make yourself familiar with our Terms and Conditions, Class Pricing & Timetable as listed in our Handbook.
Full Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Emergency Contact Update
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Relationship to Student
Allergies/Medical Conditions
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
Ballet Theory
Musical Theatre
Singing
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
Fees
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.
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
Full Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Submit
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