Hinterland Dance Academy's 2021 Online Enrolment Form
Address: Suite 16 / 3029 The Boulevard, The French Quarter at Emerald Lakes, Carrara
Corner of The Boulevard and Panorama Drive, upstairs on Level 1. Access to Level 1 is via glass door to stairs just to the right of the fountain/outdoor staircase near Gloria Jeans and Cabukee Cafe.
Contact us at 0406 152 019 or
Ph: 0406 152 019
2021 Term dates:
Term 1: Wed 27/1/21 to Thurs 1/4/21
Term 2: Mon 19/4/21 to Sat 26/6/21
Term 3: Mon 12/7/21 to Sat 18/9/21
Term 4: Mon 4/10/21 to Concert (approx Sat 20/11/21 - Sat 4/12/21)
Dancer's First and Last Name:
Name of Parent/Guardian:
Home Address, (Street + Town + Post Code):
Mailing Address if different:
Parent/Guardian's Phone Number(s):
What academic school or kindy does the dancer attend?
Dancer's Date of Birth:
The student's age on 01 / 01 / 2021 is used to help determine the correct ballet level. How old is the dancer on 01 / 01 / 2021?
Previous Dance Experience:
Ballet training is compulsory at Hinterland Dance Academy. What ballet class(es) does the dancer wish to join?
Tiny Tots A (ages 3-4, born 1/1/17 - 31/12/17) Tuesdays 9:00-9:30am $165/term
Tiny Tots B (ages 3-4, born 1/1/17 - 31/12/17) Saturdays 8:00-8:30am $165/term
Pre-Primary 1A (ages 4-5, born 1/1/16 - 31/12/16) Saturdays 8:30-9:00am $165/term
Pre-Primary 1B (ages 4-5, born 1/1/15 - 31/12/15) Saturdays 9:00-9:30am $165/term
Pre-Primary 2A (ages 5-6, born 1/1/15 - 31/12/15) Tuesdays 4:00-4:45pm $185/term
Pre-Primary 2B (ages 5-6, born 1/1/15 - 31/12/15) Saturdays 9:30-10:15am $185/term
Primary RAD Syllabus (ages 6-7, born 1/1/14 - 31/12/14) Mon & Thur 4:00-4:45pm $370/term
Junior Recreational Class (ages 6-8, born 1/1/13 - 31/12/14) Sat 10:15-11:00am $185/term
Grade 1 (usually age 7-8) Mon & Tues 4:00-4:45pm $370/term
Grade 2 (usually age 8-9) Mon & Tues 4:45-5:45pm $410/term
Grade 3 (usually age 9-10) Mon & Tues 4:45-5:45pm $410/term
Grade 4 (usually age 10-11) Mon & Tues 5:45-6:45pm $410/term
Intermediate Foundation year 1 of 2 Mon & Tues 5:45-6:45 & Thurs 4:45-5:45 $615/term
Intermediate Foundation year 2 of 2 Mon & Tues 6:45-7:45 & Thurs 4:45-5:45 $615/term
Intermediate Mon & Tues 6:45-7:45 & Thurs 5:45-6:45 $615/term
Advanced Mon & Tues 7:45-9:00 & Thurs 6:45-8:00 $675/term
Will the dancer be adding any additional classes such as jazz, contemporary, or stretch/strengthen?
Primary/Grade 1 Jazz Wednesdays 4:00-4:30pm $165/term
Grade 2-4 Jazz Wednesdays 5:00-6:00pm $205/term
Intermediate Foundation 1 & 2 Jazz Wednesdays 6:00-7:00pm $205/term
Intermediate/Advanced Jazz Wednesdays 7:00-8:00pm $205/term
Grade 2-4 Contemporary Wednesdays 4:00-5:00pm $205/term
Intermediate Foundation 1 & 2 Contemporary Wednesdays 5:00-6:00pm $205/term
Intermediate/Advanced Contemporary Wednesdays 6:00-7:00pm $205/term
Sunrise Stretch Strengthen Tuesdays 7:00-8:00am $205/term
I am eligible for a 50% discount off jazz for doing all 3 styles: ballet+contemp+jazz
I am eligible for a 50% discount of stretch for doing all 3 styles: ballet+contemp+jazz
Date that the dancer will commence lessons? (Term dates are listed at the top of this form.)
We offer weekly private lessons for students of all ages who seek to gain specialised individual coaching, progress technically, learn a performance solo, and in some cases prepare for a career in the dance industry. We can tailor-make a program to suit the needs of the individual dancer. Please note that our private lessons are intended to be added in addition to regular weekly group lessons as a supplement to help students to progress. We do not offer private lessons instead of group classes. Are you interested in adding an additional weekly private lessons?
Yes, please contact me regarding a 30min lesson, $35 paid on the day of the lesson
Yes, please contact me regarding 45mins at $50 paid on the day of the lesson
Yes, please contact me regarding 60mins at $65 paid on the day of the lesson
How I heard about Hinterland Dance Academy:
Word of Mouth
Advertisement at our school
Referral from the Royal Academy of Dance
Referral from Dance Desire
Referral from an HDA dance family
I have read Hinterland Dance Academy's Enrolment Pack and accept the Liability Terms and Conditions described within.
I am ready to receive an invoice by email and will make payment within 14 days of receiving it. (Term 1 invoices will be sent in January.)
To finalise this enrolment, scroll down and click SUBMIT.
A copy of your responses will be emailed to the address you provided.
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