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  2012 Enrolment Form

Enrolment Form 2012

 

Please fill out ALL sections of the enrolment form with clear printing. Include a current email address that is checked regularly as invoices will be emailed. Siblings can be put onto the one enrolment form. The bottom of the form MUST be signed by ALL parents.

EVERY STUDENT MUST FILL OUT AN ENROLMENT FORM.

Please fill out both personal details form and indicate what classes enrolling in on second form.

PERSONAL DETAILS 

STUDENT/S NAME:

 

AGE/S:

 

PARENTS NAME/S:

 

POSTAL ADDRESS:

 

 

                                                                        

 

                                                             Postcode:

EMAIL ADDRESS: Invoices will be sent by email, please write appropriate email address that will be checked regularly.

PLEASE PRINT CLEARLY

                                                        

CONTACT NUMBERS:

 

Home: ___________________________________________________________

 

Best Mobile Contact: _____________________________________________

 

Emergency Contact: ______________________________________________

How did you hear about YOU CAN DANCE? (NEW STUDENTS ONLY)

Please include appropriate name if referred by another student/parent so they can receive the referral discount.

 

DATE OF ENROLMENT

Please write exact date if enrolling mid-term so you can be invoiced accordingly.

 

PREVIOUS EXPERIENCE

(NEW STUDENTS ONLY)

  

 

OTHER INFORMATION

(Special needs /Injuries / Allergies /behavioural/ family situations/ custody issues).
This is for teaching staff only, to assist in providing for the NEEDS OF YOUR CHILD most effectively.

All information will remain confidential.

 

PARENT SIGNATURE

 

All parents to sign unless student enrolling is over 18yrs of age.
  1. I understand that ALL classes my child participates in is required to be paid for;
  2. I understand that my child/ren will be filmed and/or photographed, at our end of year production & photo day in 2012. Some footage may be used for promotional purposes. Photographs may be taken at events throughout the year – I give my permission for these to be used to promote YCD;
  3. I understand I will receive a late fee of $25 if my fees are not up to date by the end of term;
  4. I have read, understand and agree to everything in the 2012 ENROLMENT HAND BOOK;
  5. I understand the conditions listed in the handbook regarding Face book & Youtube;
  6. I understand there is an additional costume charge in term 3, and concert/presentation fee in term 4;

Parent Signature: ___________________________________________


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CLASSES 2012…

Please tick next to the classes you would like to enrol in for 2012.

See age guide on the timetable – if you need assistance selecting classes please ask!

JAZZ

Tick box below

HIP HOP

Tick box below

BALLET

Tick box below

     Pre-Junior Jazz    

     Monday 10:15am      

 

Junior

Tuesday 4-5pm

 

Twinkle Toes Ballet

Friday 4 – 4:45pm

 

     Pre-Junior/Junior        

     Saturday 10:15am

 

Pre Intermediate

Tuesday 5-6pm

 

Primary

Monday 5 – 6pm

 

Junior

Monday 4-5pm

 

Intermediate

Tuesday 6-7pm

 

Grade 1

Monday 4-5pm

 

Pre Intermediate

Monday 5-6pm

 

Pre Senior

Tuesday 6-7pm

 

Grade 2

Monday 4-5pm

 

Intermediate

Wednesday 6-7pm

 

Senior

Tuesday 7-8pm

 

Grade 3

Monday 6-7pm

 

Pre Senior

Monday 6-7:15pm

 

Girls Performance

Tuesday 7-8pm

 

Grade 4

Wednesday 4-5pm

 

Senior

Monday 7:15 – 8:30pm

 

Senior Performance

Tuesday 8-9pm

 

Grade 5

Monday 5-6pm

 

Youth Jazz Performance

Saturday 8:30 – 9:30am

 

Junior Boys Hip Hop

Wednesday 4-5pm

 

Intermediate Foundation

Wednesday 5-6pm

 

Open Jazz Performance

Saturday 9:30 – 11am

 

 Intermediate Boys Hip Hop Wednesday 4-5pm

 

Pointe Class

Wednesday 6-6:45pm

 

 

 

Boys Performance Hip Hop Thursday 6-7pm 

 

Open Senior

Wednesday 6:45 – 7:45pm

 

 

CONTEMPORARY

Tick box below

TAP

Tick box below

CHEERLEADING

Tick box below

       Junior

       Friday 4:45 – 5:45      

 

Level 1

Thurday 4-5pm

 

Tiny Cheer

Thursday 9:30 -10:15am

 

Intermediate

Thursday 7 – 8pm

 

Level 2

Wednesday 5:15-6pm

 

Mini Cheer

Friday 4-5pm

 

Pre Senior

Monday  7:15—8:15pm

 

Level 3

Tuesday 4-5pm

 

Youth Cheer

Thursday 4 – 5:15pm

 

Senior

Monday 8:30 – 9:30pm

 

Level 4

Tuesday 5-6pm

 

Junior Cheer

Friday 5:15 – 7pm

 

 

 

Level 6

Thursday 5-6pm

 

Teen Cheer

Friday 6:15 – 7:45pm

 

 

 

Level 7

Tuesday 5-6pm

 

Senior/Open Cheer

7:45 – 9:30pm

 

 

 

Level 9

Tuesday 6-7pm

 

 

 

 

TUMBLING

Tick box below

TINIES FUN DANCE

Tick box below

STRENGTH/FLEX & TECHNIQUE

Tick box below

      Mini/Youth (5 – 9yrs)

      Thursday 5 – 6      

 

Monday

9:30 – 10:15am

 

Wednesday 6 -6:45pm

 

Level 1 & 2 Tumbling (10yrs +)

Thursday 6 – 7:15pm

 

Thursday

9:30 – 10:15am

 

Wednesday 6:45 – 7:30pm

 

Junior/Youth Cheer Tumbling (9-14yrs)

Monday  7:15—8:15pm

 

Saturday

9:30 – 10:15

 

BREAKDANCE

Wednesday 5 – 6pm

 

Teen/ Senior (13yrs+)

Monday 8:30 – 9:30pm

 

 

 

MUSICAL THEATRE

Tuesday 4-5pm

 

 

TOTAL NUMBER OF CLASSES ENROLLED IN

 

___________

 

 

If you would like to enrol in a PRIVATE LESSON, please let Jane know so a suitable time can be scheduled.

 

ENROLMENT DAY 21ST JANUARY - AT THE STUDIO – 9am – 4pm.

 


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Studio
2/8 Bromley Rd
Emu Plains, 2750
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ZUMBA FITNESS
Join the party!! An awesome dance/ fitness class for over 13yrs!!
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Reception/Waiting Area