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 dance@hinterlanddanceacademy.com
Ph: 0406 152 019
E: andrea@hinterlanddanceacademy.com

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)

Email address *
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? *
Will the dancer be adding any additional classes such as jazz, contemporary, or stretch/strengthen?
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?
How I heard about Hinterland Dance Academy: *
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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