Enrolment Form 2024
If there are any special notes or private information for Miss Jo ONLY can you please email info@joanneokellyschoolofdance.com.au and label 'Enrolment 2024' - please do not add to this form.
Miss Jo will not be able to respond to your email until enrolments are being processed early 2024. 
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Email *
Are you a new student to JOKSOD? *
Name of student *
Date of birth *
Age at 1/1/24
 *
Name of parent or guardian 1: main contact *
Email address of main contact
*please note this will be the email address that is used for invoicing and our email communication
 *
Mobile phone number of main contact
*please note this will be the phone number we use to stay in contact with you
 *
Name of parent or guardian 2: secondary contact *
Email address of secondary contact *
Mobile phone of secondary contact *
Home address
Include state and postcode
 *
Emergency contact name and contact details
*Please provide a 3rd adult we can contact in case of emergency
 *
Medical conditions
*please detail any conditions that would be relevant that could impact dance activity
Private Health cover details
Ambulance cover details
Medicare number
If your child has been diagnosed with hyper-allergenic reactions (anaphylaxis and severe allergic reaction) or asthma please attach any necessary documentation and action plans.

All details will be kept strictly confidential.
In case of medical emergency or accident, I authorise the staff member in charge to consent, where it is impracticable to communicate with me, to my daughter or son receiving such medical or surgical treatment or first aid as may be deemed necessary. 

PLEASE TYPE YOUR NAME IN THE BOX BELOW AS CONSENT

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