FNQ Dance Academy Enrolment Form 2020

2020 STUDENT ENROLMENT FORM

(separate form required for each sibling in a family)
STUDENT DETAILS
Student Name *

First Name Last Name
Student Date of Birth *

Day Month Year
Date
Student School Grade (if applicable)
Student Email (if applicable)
example@example.com
Student Medical Conditions (if any):

Student Address *

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

Year commenced classes at FNQDA
PARENT / CARER DETAILS
#1 Parent/Carer Name *

First Name Last Name
#1 Parent/Carer Relationship to Student *
#1 Parent/Carer Contact Number *
#1 Parent/Carer Email (primary contact point) *
example@example.com
Optional additional email address for correspondence (newsletters etc)
example@example.com
#2 Emergency Contact - Name

First Name Last Name
#2 Relationship to Student
#2 Emergency contact - Phone Number
CLASS OPTIONS

Please select class/es to enrol your child in below. If you have any questions please feel free to contact us to discuss.
GENERAL MOVEMENT & PRE-SCHOOL PROGRAM (Under 5's)
GENERAL MOVEMENT CLASSES
BEGINNERS CLASSES (5-7 years)
BEG. / PREP BALLET CLASSES (5-7 yrs)
BEGINNER MODERN CLASSES (5-7yrs)
BEGINNER TAP CLASSES (5-7yrs)
BEGINNER HIP HOP CLASS (5-7yrs)
RECREATIONAL STREAM CLASSES
REC BALLET CLASS OPTIONS
REC JAZZ CLASS OPTIONS
REC TAP CLASS OPTION
REC HIP HOP OPTIONS
REC CONTEMPORARY OPTION
REC ACRO OPTION
SYLLABUS / EXAM STREAM CLASSES
BALLET - GRADES
BALLET - VOCATIONAL
MODERN
TAP
HIP HOP
ACRO & TUMBLING
MUSICAL THEATRE
CONTEMPORARY
COMP JAZZ
POINTE / CONDITIONING
CONDITIONS OF ENROLMENT: *

I understand that while the upmost of care is taken, participation in dance classes carries a risk of physical injury. Each student participates at their own risk and teachers/staff of FNQ Dance Academy are not liable for any injuries sustained during classes. I appreciate that dance is a tactile art form and student/teachers will have physical contact in class. I give permission to use photographs/videos of the above student for publicity & memorabilia purposes. (OR: If permission is not given I will personally email sarah@fnqdanceacademy.com.au with student details for follow-up and flagging. Note: it is the student/parent responsibility to remove themselves from announced group photos where possible) I will ensure my child and I both understand the Academy Code of Conduct and School Rules and will help to enforce them with positivity (reviewed Code of Conduct to be distributed via email prior to the commencement of classes)
Any additional info you wish to tell us:
Should be Empty:

2020 STUDENT ENROLMENT FORM

STUDENT DETAILS

PARENT / CARER DETAILS

CLASS OPTIONS

GENERAL MOVEMENT & PRE-SCHOOL PROGRAM (Under 5's)

BEGINNERS CLASSES (5-7 years)

RECREATIONAL STREAM CLASSES

SYLLABUS / EXAM STREAM CLASSES