YVB Trial Class Registration
On Saturday 1st February we will be offering reduced rate trial classes for students between the ages of 3-6 years. Please use this form to register your details. Thank you!
Email address *
Section 1 - Student Information
Student Name *
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Parent or Guardian Information
Parent / Guardian Name/s *
Your answer
Contact Number *
Your answer
Email Address (if different to above)
Your answer
Please indicate which class you wish to register to attend: *
Required
Please indicate your preferred payment method: *
Required
Injury Liability Waiver

We hereby acknowledge that Yarra Valley Ballet subscribes to the Ausdance Safe Dance Practice Guide, available at: http://ausdance.org.au/articles/details/safe-dance-practice.

We agree that we will not hold Yarra Valley Ballet Pty Ltd or any of its Directors or Shareholders liable for injuries sustained in the normal course of dance class activity.
Please indicate your understanding of the above information *
Required
How did you hear about Yarra Valley Ballet? *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Yarra Valley Ballet. Report Abuse