New student enrolment 2023

Child's name

First Name

Last Name

School Year

Birth date

Any allergies/medical conditions

Parents' name

Address

Phone number

Email address

Emergency contact

I give permission for Dance Club staff to take photos and/or videos for promotional and/or publicity purposes eg. website/FB page

Yes

No

I would like to add a Dance Club tshirt (+ $20)

Yes

No

If Yes to previous question, my child's tshirt size is

Term fee