Student Information

Student name ( full )

Age

Date of birth

Medical Information

Please list any important information that we should know about, inc. any injuries

Parent Information

Full name

Email address

Best phone contact no.

Questionaire

Has your child danced before?
YesNo

If yes, how long for and what styles?

Class picker

Age group
Tiny Tots ( 2.5 yrs + )Mini Movers ( 5/6 yrs )Juniors ( 7 yrs + )Intermediates ( 10/11 yrs + )Seniors ( 14 yrs + )Adults

Dance style
Classical BalletJazzTapAcro DanceLyricalCheerleadingStretch & ConditioningPrivate Lessons

Please note, Tiny Tot classes are only available in Classical Ballet. Before submitting your trial booking be sure to check out our timetable to see what days & times our classes are provided on.

Disclaimer

I understand that dance classes may include, without limitation, dancing with props, stretching, barre work, across the floor combinations, dance routines in the centre, and other related activities. I further understand that all of the activities of the dance class involve some degree of risk of strain or bodily injury. NA Dance Co. is not responsible for any personal property or injury.

I hereby acknowledge that I have read the statements above and agree to participate accordingly.

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