Enrolment form

All information on this form is classified as ‘confidential’. If changes occur (change of address, phone numbers) during the course of the enrolment, please notify us as soon as possible.

Student Name*

Date of Birth*

Address*

Mother/Guardian name*

Email address*

Mother/Guardian Phone*

Father/Guardian name

Email address

Fathers Phone

Billing Contact Name*

Billing Address*

Emergency Contact*

Phone*

Doctor*

Phone*

Medicare Number*

Ambulance Cover*

Yes

Which classes would you like to enrol in:*

Photo Declaration

I agree to my childs photo being used for dancepointes advertising purposes.

Photo Declaration*

Yes

Guidelines

Fee's will be issued on a termly basis and payment is required promptly. Please note if we have performances during the year a costume hire fee may apply. No refunds for missed classes.

Parent Guardian Declaration

I, the undersigned, approve of the above application and in doing so agree that Dancepointe and its Officers and Servants are to be free and clear of all responsibility whatsoever, for any accident or loss of property incurred whilst the applicant is participating in any training or school activities. I further authorise Dancepointe staff, in the event of any such accident, to obtain medical assistance as required and agree to meet any expenses attached thereto.

Declaration: I have fully read this enrolment form and I accept the conditions which govern the programs at this school. I agree to abide by all policies as listed on this document.