Gender *

Female

Male

Classes I wish to enrol my student in *

Petite (Expression of Interest)

Mini Jazz

Mini Ballet

Young Jazz

Young Ballet

Young Hip Hop

Young Lyrical/Contemporary

Junior Jazz

Junior Ballet

Junior Hip Hop

Junior Lyrical/Contemporary

Is your student subject to custody arrangements? *

YES

NO

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.

YES

NO

Primary Contact Name *

If over 18 please fill out this section with your own details

First Name

Last Name

Secondary Contact Name *

First Name

Last Name

Terms and Conditions *

I have read and agree to the terms and conditions of lessons provided on the website and acknowledge my application will be finalised subject to payment of the Tuition Enrolment Deposit.

YES