Enrolments

Use our On-Line Enrolment Form now! Please ensure you complete all sections of the application form. We will contact you to confirm your Enrolment Application. You may also download our Enrolment Forms here, complete and post to us.

:: Student's Name

First Name

Surname

:: Date of Birth

:: Address

State P/Code or Zip

:: Telephone

Mobile

:: Parent/Guardian

Title

First Name

Surname

:: Contact Phone

(if different from above)

:: Email Address

:: Newsletters, Notifications, Accounts via email

Please tick boxes below if you would like to receive the following notifications via email.

Notifications via e-mail

Yes! Please send Newsletters, Fund Raising Info and Invoices/Fees to my above email address.

Notifications via post

Yes! Please send Newsletters, Fund Raising Info and Invoices/Fees to my above address.

:: About this Enrolment -

1. Please enrol for the following classes -

Creative Movement 3-5 Years Wednesday

Creative Movement 3-5 Years Saturday

Classical Ballet

Jazz

Tap

Hip Hop

Acrobatics

Contemporary

Performance Group

Singing

2. Which of the following is of interest to you?

General Classes

Concerts

Assessments

3. Do you/your child suffer from any medical conditions?

Yes No

If YES, please specify -

4. How did you hear about our the Shilleena's Dance Academy?

:: Comments

If you know what level you would like to attend, have any further enquiries, need more information, or would like to comment about our website please do so below.

Share |