2025 Millennium Physie & Dance                             ANNUAL REGISTRATION
*****Welcome to Millennium Physie & Dance *****
Sign in to Google to save your progress. Learn more
I am an:- *
Dancer Name (First and Last Name) *
Parent Contact Name and Mobile Phone Number

** If 18+ Please list an Emergency Contact Name and Mobile Phone Number 
*
Address *
Contact Email *
Contact Mobile Number *
Dancer Date of Birth
(Day/Month/Birth Year, is the format)
*
Age as at  31 August 2025
(This is the Class/Competitor Age for the year)
*
Class Selection (Dancer Age as at 31 August 2025, is class age selection) *
Timetable for MILLENNIUM - SOUTHSIDE (Capalaba and Sunnybank)
Timetable for MILLENNIUM - NORTHSIDE (Chermside & Bracken Ridge)
Millennium Physie & Dance Class Locations
SOUTHSIDE
* Capalaba State College, 59 School Rd, Capalaba  (Monday and Wednesday)
* Sunnybank, 121 Lister Street, Sunnybank (Saturday)
NORTHSIDE
* Craigslea State High School (Tuesday), 685 Hamilton Road, Chermside West
* Norris Road State School (Thursday), 28 Greenore Street, Bracken Ridge

BALLET Classes are billed by Term Blocks at $10 per class 
*
Required
2025 MDC T-shirt (will be MDC Registration payment in full)
If stock not available, we will get what we can in your size
*
Required
Have you ever participated in  APDA (Australian Physie & Dance) or any other Physie Code (BjP,  EP,  Burns, Calisthenics, Other)? 
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 injury, sickness, holidays or if you choose to end year early or if you choose to self terminate classes at any time.

Millennium Dance Co Term Fees are to be paid in full within 2 weeks of Invoice.

Alternate days/classes are available to catch up at any other of our locations if you have been absent.

*
Required
I acknowledge that I will have to pay separate APDA Member Registration (this is separate to Millennium Dance Co Fees/Invoicing) within 2 weeks of class commencement and then an APDA Competition Fee during the year.  

Information has been provided in information packs.
*
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report