DANCE STUDIO ENROLMENT

STUDENT DETAILS
Gender *
Student Year Level *
Classes I wish to enrol my student in *
Please state any information that will help us provide the best care for the student - ie. allergies, medical details, impairment, disability etc
Is your student subject to custody arrangements? *
Photo Permission *
Grace Academy includes photos/video in newsletters, magazines, multi-media presentations, on our website or social media sites such as our Facebook page. As a parent or guardian of this student, I hereby consent to the use of photographs/video taken during the course and I understand that these images will be used without names.
PRIMARY CONTACT DETAILS
Primary Contact Name *
Primary Contact Name
If over 18 please fill out this section with your own details
SECONDARY CONTACT DETAILS
Secondary Contact Name *
Secondary Contact Name
Walk over service (St Paul's students only)
Terms and Conditions *
I have read and agree to the terms and conditions of lessons provided on the website