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Enrolment Form - LIKE Dance Studio
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Full Name
*
Your answer
Start Date
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MM
/
DD
/
YYYY
Date of Birth
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MM
/
DD
/
YYYY
Parent/guardian name (if under 18 y.o.)
Your answer
Contact number
*
Your answer
Email address
*
Your answer
Home address
Your answer
Agreed classes (days & times)
If you are unsure, please leave this blank and we will assist.
Your answer
Number of classes per week. (Please note that a single enrollment fee of $50 applies in each terms and covers additional dress and stage rehearsals for our end of term performances).
*
Choose
1 class per week ($105 per month)
2 classes per week ($198 per month)
3 classes per week ($284 per month)
4 classes per week ($361 per month)
5 classes per week (430 per month)
6 classes per week ($490 per month)
7 classes per week ($557 per month)
8 classes per week (619 per month)
9 classes per week (677 per month)
10 classes per week ($731 per month)
11+ classes per week (Price TBA)
Preferred payment method
*
Direct Debit (from Visa/Mastercard/Bank account on the 1st day of every month
One off payment for the term (10% discount applies)
How did you hear about LIKE DANCE Studio?
*
Your answer
Have you already had a trial class? If so, when?
Your answer
Any additional comments for enrolment
Your answer
Terms & Conditions and Waiver of Responsibility
*
Please click on the link to read the Terms & Conditions:
https://docs.google.com/document/d/1hbMSzNk7F45UOKxFd7QOaeCMs6rssMn3d6kV72Knd6A/edit?usp=sharing
I have read and understood the terms of enrolment. Please proceed with this enrolment.
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Signed by (your name)
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