Existing Students Enrolment

Child's Name*
Child's DOB*
Date Format: DD slash MM slash YYYY
Postal Address*
Street Address City ZIP / Postal Code
Parent/Guardian Name*
Contact Number*
Email*
Dance Class*
Please select the class you would like to enrol your child in.
Day
Dance Class
Please select the class you would like to enrol your child in.
Day
Emergency Contact*
(must be different to main contact)
Relationship*
Phone*
Additional Information
Please provide any important medical information or additional needs that our teachers need to know to support your child.
How did you hear about Kelly's Dance Academy?*
Do you agree to Kelly's Dance Academy contacting you about future classes/events?*
- Yes
- No
I have read and agree to the attached terms and conditions that form part of the enrolment.*
View Terms & Conditions
- I Accept
- I Decline