Students Name:

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Date of Birth: (dd/mm/yy)

Parent / Caregivers Name:

Postal Address:

Home Phone:

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Please list any Medical Conditions:

Class enroling in:

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Day Attending:

Payment Options: Fees to be invoiced termly

How did you hear about Danceworks?

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By enrolling your child you are agreeing to our Terms & Conditions

By typing your name in this box you release Danceworks Ltd of any liability for accident or injury that may occur while attending dance classes.

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Thank you very much from the staff at Danceworks Ltd.