Enrolment Form - 2021
2020 Orana Dance Centre Enrolment form.
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Students Full Name *
Students Date of Birth DD/MM/YYYY *
Students Age at December 31st 2021 *
Medical Conditions/Allergies?
Parent or Guardian Name/s *
Postal Address *
Parent/Guardian Phone Number/s *
Email Address for Billing and Newsletters *
Emergency Contact/s Name and Phone Number if different from parents
Do you give permission for photos and videos of your child to be used for advertising purposes and publication on the studio website? *
I understand that fees must be paid in full by the due date OR paid weekly/fortnightly. Failure to do so may result in your child being unable to attend classes until an agreement has been made or payment made in full. *
Required
Fee Payment *
Required
I understand that if my child commits to an Eisteddfod/Performance group that they are part of a team and every effort should be made to attend all classes and rehearsals. Repeated unexplained absences may result in your child being removed from the group. *
Required
I would like my child to take part in RAD (Royal Academy of Dance) Ballet Examinations *
Signature of Parent/Guardian
I have read and agreed to all of the terms and conditions in the enrolment information pack available on the website and the above terms and conditions. I have read and will abide by the Orana Dance Centre policies and rules. I accept resposibility for payment of fees for this student.
Please Sign and Date by typing your name and date below: *
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