ONLINE ENROLMENT FORM - JIGSAW DANCE STUDIO
2019 ENROLMENT INFORMATION
NAME CHILD 1: *
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DATE OF BIRTH CHILD 1: *
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YYYY
NAME CHILD 2:
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DATE OF BIRTH CHILD 2:
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DD
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YYYY
NAME CHILD 3:
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DATE OF BIRTH CHILD 3:
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DD
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YYYY
ADDITIONAL CHILDREN NAMES & DATES OF BIRTH
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MOTHER/FATHER/CARER NAMES: *
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ADDRESS: *
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EMAIL ADDRESS: *
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TELEPHONE NUMBERS: *
Landline & mobiles
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Does your child have any medical condition of which we should be aware?
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How did you hear about us? *
JAZZ CLASSES:
Please type - Student Name(s) followed by Class(es) & Day(s) selected
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TAP CLASSES:
Please type - Student Name(s) followed by Class(es) & Day(s) selected
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BALLET CLASSES:
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HIP HOP CLASSES:
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CONTEMPORARY CLASSES:
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JFH CLASSES:
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PERFORMANCE TROUPE:
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ACRO CLASSES:
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MUSICAL THEATRE SINGING & DRAMA CLASSES:
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PRIVATE LESSONS:
Please contact Miss Jen for days and times
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RAINBOW CONNECTION CLASSES:
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SUNSHINE NEXT GEN COMBO CLASSES:
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SUNSHINE BALLET CLASSES:
Please type - Student Name(s) followed by Class(es) & Day(s) selected
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STARLIGHT NEXT GEN COMBO CLASSES:
Please type - Student Name(s) followed by Class(es) & Day(s) selected
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STARLIGHT BALLET CLASSES:
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1) Parents are responsible for their child’s behaviour and their safety whilst on our premises, including parking lots, bathrooms, waiting areas etc. *
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2) I understand that children are not allowed in the studio when not participating in the class that is in progress but they can wait in the waiting area inside the building. *
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3) I will exercise extreme caution when entering and exiting the car parks. It is my responsibility to ensure that my child safely enters the studio and return to my vehicle at the end of class. I will not park my vehicle in any area that is not a designated parking space. *
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4) Fees and full costume payments will be required to be finalised in order for your child to participate in our end of year concert. *
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5) I understand that throughout the year, my child may be photographed or filmed for promotional or advertising purposes. This may include but not limited to photos on our social media pages, local newspapers or published on our websites. I have no objection to my child’s photograph or video footage of my child to be used by Jigsaw Dance Studio for such purposes. *
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6) Please be advised that all classes are well supervised and each dancer participates at their own risk therefore no responsibility will be placed upon the teacher or studio should your child sustain any injuries during the course of any class. Safety rules have been stipulated in this information letter and have been formulated for everyone’s safety. *
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