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0417 899 364
STRETCH & LIMBER
Date of Birth
Primary contact name
Primary contact relationship
CLASSICAL BALLET PRE PRIMARY
CLASSICAL BALLET PRIMARY
CLASSICAL BALLET GRADE 1
CLASSICAL BALLET GRADE 2
CLASSICAL BALLET GRADE 3
CLASSICAL BALLET GRADE 4
CLASSICAL BALLET GRADE 5
CLASSICAL BALLET INTER FOUNDATION
CLASSICAL BALLET ADVANCED FOUNDATION
CLASSICAL BALLET OPEN AGE
CLASSICAL BALLET POINTE
READY SET DANCE (2-5 YEARS)
READY SET ACRO (2-5 YEARS)
MODERN JAZZ GRADE 1
MODERN JAZZ GRADE 2
MODERN JAZZ GRADE 3
MODERN JAZZ GRADE 4
MODERN JAZZ GRADE 5
MODERN JAZZ GRADE 7
MODERN JAZZ GRADE 8
TAP DANCING GRADE 1
TAP DANCING GRADE 2
TAP DANCING GRADE 3
TAP DANCING GRADE 4
TAP DANCING GRADE 5
TAP DANCING GRADE 7
TAP DANCING GRADE 8
BEAT BUSTERS (BOYS ONLY HIP HOP CLASS)
HIP HOP GRADE 2
HIP HOP GRADE 4
HIP HOP GRADE 5
HIP HOP GRADE 7
HIP HOP GRADE 8
STRETCH & LIMBER
MODERN JAZZ TECHNIQUE CLASS
ACROBATICS 5-10 YEARS
ACROBATICS 10-14 YEARS
ACROBATICS 15 YEARS +
STRETCH & FLEX
MODERN JAZZ EXAMS
TAP DANCING EXAMS
CLASSICAL BALLET EXAMS
SHARED TUITION (DUO'S)
Please only provide an email address that is checked regularly. All invoices, newsletters and correspondence will be sent to this address
Emergency Contact - Name
Emergency Contact - Phone Number
Does your child have any allergies and/or medical conditions ?
Please detail any learning difficulties and or social issues that will affect their dance and teachers need to be aware of?
Any additional information we need to be aware of
Age on 01/01/2022
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Terms & Conditions of enrolment
I understand that all fees must be paid in full by week 4 of every term or the account will incur a $10.00 late fee.
If you have applied for a payment plan and this has been approved, I understand that I am required to make weekly or fortnightly payments consistently throughout the term. The account must be finalised by week 10 of any given term
Failure to make payments consistently will result in a $10 overdue fee
I have read and understand the fee information and conditions and will keep my fee account up to
I understand there are no refunds for missed lessons, no exceptions.
We do not offer make-up lessons as regular attendance is expected
Students withdrawing from Dance Xplosion must give 2 weeks notice. Fees will
be adjusted from this date.
Failure to give 2 weeks notice will result in the account not being adjusted and and the account to be paid in full within 7 days of receiving final invoice.
Any unpaid invoices will be forwarded to our debt collection specialists for immediate action
All students must wear the correct uniform and shoes. All uniforms are available
through the online shopping cart or the studio
Dance Xplosion w
ill not be held responsible or liable for any injury sustained by a student and/or personal
property lost or damaged whilst under the supervision of our employees/volunteers.
has a Child Safe Environment policy
Students and their parents/caregivers must be respectful to all other students, employees and
volunteers of Dance Xplosion
Photos and/or videos may be taken of your child and used for advertising and/or training purposes.
This may include in newspapers and Facebook.
All information provided on this enrolment form is kept completely confidential.
I agree to have my details saved for follow up and eMarketing purposes