2023 Millennium Dance Co Annual Registration
*****Welcome to Millennium Dance Co*****
Sign in to Google to save your progress. Learn more
I am an:- *
Dancer Name *
Parent Contact Name *
Address *
Contact Email *
Contact Mobile Number *
Dancer Date of Birth *
Age as at  31 August 2023 *
Class Selection (Dancer Age as at 31 August 2023, is class age selection) *
Millennium Dance Co Class Location
(Please see projected Class Timetable)
Captionless Image
Have you ever participated in  APDA (Australian Physie & Dance) or any other Physie Code (BjP, EP, Burns)? 
If YES, list your last year completed and Level (State/National)
Are you interested in Competitions *
I understand, that there are NO REFUNDS ON CLASS FEES, REGISTRATION FEES, FUNDRAISING FEES, INTERCLUB FEES, TEAM PARTICIPANT HIRE and any/all other MISCELLANEOUS FEES on Millennium Dance Co Statements, this is inclusive of sickness, holidays or if you choose to end year early or if you choose to self terminate classes at any time.
Alternate days/classes are available to catch up at any other of our locations if you have been absent.

I acknowledge that I will have to pay separate APDA Registration (this is separate to Millennium Dance Co Fees/Invoicing) within 2 weeks of class commencement.  Information has been provided in information packs. *
T-Shirt/Singlet Size
(Upon paying Term 1 Fees in full with MDC Registration & Insurance you will receive your 2023 Shirt/Singlet)
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy