Shop 5 / 18 Corner of Main Drive and Sportsmans Parade Warana Zoe O’Keefe:
0419 797 312
Kate Matti
0405 031 464
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REGISTRATION
Free Trial Registration Form
It’s never been that easy
Thank You for choosing Dance Studio!
Our manager will contact you for details.
Student Name
*
Date of Birth
*
School Grade
*
Parents / Guardian
*
Email Address
*
to receive all invoices and notes throughout the year
Address
*
Suburb
*
Postcode
*
Contact Numbers
*
Medical Conditions
*
If not contactable in an emergency, permission to phone ambulance?
*
Yes
No
How did you hear about us?
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Internet search
Print advertising
Social media
Word of mouth
Other
Which studio do you wish to enrol in
*
Warana
Aura (Opening Term 3)
I wish to enroll in
Jazz
Tap
Ballet
Hip Hop
Acrobatics
Contemporary / Lyrical
Cabaret / Commercial
Fit Nicks Fitness
Crew
Elite Team
Tiny Tot classes
Jazz
Tap
Ballet
Acrobatics
Other Classes
Terms and Conditions
*
Accept
The signatory to this form, as or on behalf of the student, voluntarily accepts unconditionally and unreservedly full and absolute liability for all risk of injury or damage howsoever incurred, whether by negligence or otherwise as a result of and/or the activities inherent in the tuition of the classes AND AGREE that this acceptance shall constitute a complete waiver, discharge and defense to E.P.A to any claim, demand or action against E.P.A for any such damage or injury.
I give full authorization to E.P.A to use student’s photos in all marketing materials including: website, promotional advertisements, newspaper, information booklets, concert program, Facebook, Instagram and all social media.
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