STUDENT NAME (required)
DOB (required)
SCHOOL YEAR (required)
ADDRESS (required)
PHONE (required)
EMAIL (required)
PARENT/GUARDIAN NAME (required)
PARENT/GUARDIAN NUMBER (required)
EMERGENCY NAME (required)
EMERGENCY NUMBER (required)
DOES THE STUDENT HAVE ANY INJURIES, DISABILITIES, MEDICAL CONDITIONS OR ALLERGIES THAT STUDIO A NEED TO BE AWARE OF? PLEASE SPECIFY.
DO YOU GIVE US PERMISSION TO USE YOUR CHILD’S PHOTOGRAPH / VIDEO FOOTAGE FOR ADVERTISING AND SOCIAL MEDIA Yes No
CLASS SELECTIONS Shooting Stars Rising Stars Ballet Pilates Jazz Actors Studio Singing Tap Contemporary Boys only Musical Theatre Irish Dancing Acro Show Squad DJ Jazzy
WOULD LIKE PRIVATE TUITION? IF SO, PLEASE ADVISE WHICH STYLE YOU WISH TO BE COACHED IN, AND WHETHER YOU WOULD LIKE A SOLO CHOREOGRAPHED FOR YOUR CHILD FOR COMPETITION WORK.
PLEASE OUTLINE ANY DANCE, DRAMA OR SINGING EXPERIENCE.
HOW DID YOU HEAR ABOUT STUDIO A? (required) Social MediaAdvertisingWord of MouthOther
Do you agree to our Terms and Conditions? Yes
This Enrolment attracts an Enrolment Fee. This will be added to your first invoice. Our administration team will process your Enrolment once payment has been received and you will be added to our email system.