Desley Donaldson Ballet Academy 2020 Enrolment
Please provide all the information requested below
Students First Name *
Your answer
Students Last Name *
Your answer
Students Gender *
Students Date of Birth *
Full birthday e.g 16/03/2002
Your answer
Preferred Class/es *
Primary Carer 1 *
first and last name
Your answer
Relationship to child *
Your answer
Primary Carer 1 - Contact Number *
mobile phone number preferred
Your answer
Primary Carer 2
first and last name
Your answer
Relationship to child
Your answer
Primary Carer 2 - Contact Number
Your answer
Home Address *
Your answer
Email *
Your answer
Emergency Contact *
Name and Phone number (other than mum or dad)
Your answer
Does you child suffer from any medical illness or allergy *
If Yes was selected, please list details of medical illness or allergy
If your child has an action plan, an up to date copy must be provided
Your answer
Are there any custody/care arrangements we need to be aware of?
please give details below if applicable
Your answer
Does your child have an special needs or cultural requirements that we need to be aware of?
please list details below
Your answer
Where did you hear about us *
In the event of an accident, do you give permission for teachers to administer initial first aid until further help arrives? *
I understand that I will be invoiced before the week of each Term and that fees must be paid by the first lesson of that Term to receive the concession rate. Fees received after the due date will incur the full rate. *
I understand that fees will not be refunded for any missed classes or cancelled enrolment. If notification of absence is given prior to the missed lesson, arrangements can be made to attend another class at a similar level, this must be arranged prior with the principle. *
I understand that my child's enrolment will continue for the year unless notification of cancellation is given. *
1 Terms notice of cancellation is required
I understand that the use of cameras, iphones and recording devices will not be permitted during open weeks or end of year performances. Professional photographs and DVDs of the end of year performance will be available to purchase *
I understand that dance classes can involve risk of personal injury. While Desley Donaldson Ballet Academy takes all reasonable care in the conduct of its classes, it accepts no responsibility for injury or loss caused during classes or whilst participants are at or near the dance studio. *
I have read and accept the term and conditions of Enrolment *
Photographs and Videos, taken by Desley Donaldson Ballet Academy, may be used for advertising purposes on websites, posters, social media and newsletters. Do you give permission for Desley Donaldson Ballet Academy to use these images? *
Name of person submitting the form *
By submitting this form you are acknowledging and accepting all policies above
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy