Enrolment Form
You are one step away from enrolling in a fun filled year of dance. Please complete the following form and click the submit button when you are done. Please complete the form and repeat the process for individual students.
Students Name *
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardians Name(s)
Your answer
Address *
Your answer
Email Address *
Your answer
Home Phone
Your answer
Mobile Phone (Parent/Guardians) *
Your answer
Student Mobile (if applicable)
Your answer
Do you/your child have any medical conditions or allergies that we should be made aware of eg. asthma, anaphalaxis etc? ***
Your answer
*** please note if the above section has not been completed & returned or the above persons are uncontactable in an emergency We reserve the right to call an ambulance to ensure the safety & well being of you/your child at your expense. Thank you for your understanding.
Genres to enrol in
Please select from several drop down boxes for multiple classes
Class 1 *
Class 2 *
Class 3 *
Class 4 *
Class 5 *
Class 6 *
Class 7 *
Class 8 *
Class 9 *
Class 10 *
Would you like your child to participate in:
Are you a new or existing customer? *
New Students only
Please complete the short section below
Previous dance experience (style, dance school & years of experience.)
Your answer
How did you hear about us?
Disclaimer
Dance classes can involve risk of personal injury. Whilst all reasonable care is taken in the conduct of classes, no responsibility is accepted for injury or loss caused during class or whilst participants are at or near class venues. Parents and students are responsible for ensuring that children are physically & medically fit for the class & during the class children must at all times take care of their own personal safety.
TERMS & CONDITIONS
I acknowledge that all fees are payable on a term basis at the beginning of each term. All fees are due & payable within 21 days of term commencement. A 10% late fee will be applied to your account if fees remain unpaid after this time. Repeat failures will result in direct debit only accounts where by automated credit card or debit accounts are used.
Notice of withdrawal from a class is required ONE TERM prior to leaving.
I understand that Evolution Dance School does not issue refunds. I give authorization for my/daughter/son’s photo/video to be used (if applicable) on the Evolution Dance Facebook page, Website, Instagram or Newsletter for term updates, welcome announcements, class awards or for the purpose of practicing routines (please note close up will not be taken, it will be a whole class routine), advertising etc.
Terms & Conditions *
Required
Questions and comments
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This form was created inside of Evolution Dance School.