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 and acknowledge my application will be finalised subject to payment of the Tuition Enrolment Deposit.
How did you hear about the Dance Studio? *
Please tick all that apply