DANCE CLASS ENROLMENT FORM

THANK YOU FOR TAKING INTEREST IN OUR DANCE STUDIO.

Please fill out your details below and we will be in contact to discuss classes to suit your needs.

Students Name*
First Last
Date of Birth*
Age on 1st January this year
Which styles of dance are you interested in?
(Please select your preferred style/s and our admin staff will contact you to confirm class availability)
Which other dance style?*
Previous Dance Experience
Style, dance school & years of experience.
Are you interested in participating exams?*
- Yes
- No
- Maybe
Parent/Gardian Name
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email*
How did you hear about us?

DanceWorks Geelong