Child Enrolment Form - Newcastle Dance Academy

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2022 enrolment form

for persons under 18

ENROLMENT FEES

$50.00 single, $90.00 family of 2 and $120.00 family of 3.
Fee must be paid on enrolment and is non-refundable.

Student Details

Child Name #1 *

Age *

Date of Birth *

Child Name #2Only applicable if you are enrolling more than one child.

Age

Date of Birth

Child Name #3Only applicable if you are enrolling more than two children.

Age

Date of Birth

Parent/Guardian Details

Parent/Guardian #1 Name *

Is this person responsible for the fee payment? *YesNo

Relationship to Student *

Street Address *

Apartment, suite, etc

City *

State *

Postal Code *

Phone Number *

Email Address *

Parent/Guardian #2 Name

Is this person responsible for the fee payment?YesNo

Relationship to Student

Street Address

Apartment, suite, etc

City

State

Postal Code

Phone Number

Email Address

Dance Styles

Please select the dance style/s that you are interested in enrolling your child/children in.

Classical BalletContemporary/LyricalJazzTapKhorobushkaSilver SwansReady Set DanceReady Set MoveBoys ClassesBubbarinasPrivate TuitionPart-Time ProgramFull-Time ProgramExtension Program

Publication Release

I acknowledge that as a member of Newcastle Dance Academy, a variety of media (videos, photography, etc.) may be used to advertise to promote the studio. *I DO CONSENT to the inclusion of my child/children in any of the media releases.I DON’T CONSENT to the inclusion of my child/children in any of the media releases.

Agreement

I/we have enrolled our child/children into NDA. I/we have read the Prospectus (available at www.newcastledanceacademy.com.au) and do agree to abide by the rules and conditions set out by the Academy, with the understanding that should any problems arise I/we will contact the Principals immediately. By agreeing to this, I acknowledge that I will be responsible for payment of fees and associated costs. *

Date *

Latest News

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02 4961 6233

dance@newcastledanceacademy.com.au

34-38 Brown Road, Broadmeadow NSW

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