Enrol

Enrol online for dance classes at Croft Gilchrist

Enrolment form

Prefer to enrol on paper? Download and print the official enrolment form, then bring it to the studio or email it to us.

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Student Details

Surname Given names

Date of birth Enrolment date

Previous experience / school / syllabus Student medical information Please provide details of any on-going medical or physical condition that may affect participation in dance lessons.

Styles / Classes Interested In

Classical Ballet Jazz Tap Rhythm & Dance Highland Tiny Tots/Kinder Hip Hop Junior/Teenage Acro Arts Junior/Intermediate/Senior Musical Theatre/Song & Dance Adult Theatrical Jazz/Tap/Ballet

Parent / Guardian 1 (required)

Title Surname First name

Relationship to student Email

Mobile phone Work phone Emergency contact phone

Residential address Postal address (if different from above)

Parent / Guardian 2 (optional)

Title Surname First name

Relationship to student Email

Mobile phone Work phone Emergency contact phone

Residential address Postal address (if different from above)

Senior Student Contact (if applicable)

Senior student mobile Senior student email

Consents & Acknowledgements

I consent to teachers making physical contact with the student during class to demonstrate exercises, techniques, or to assist with injury or illness as may arise.

I consent to the school’s electronic recording policy. Recordings may be taken by authorised staff for files, visual teaching aids, Display Days, Dancing Out performances (where venue permits), and school advertising / website use.

If you do NOT agree with any of the uses below, please tick the relevant point to opt out:

Authorized teacher or employee recordings Display Days recordings Dancing Out performances School advertising / website use

I acknowledge that students are only supervised by staff during tuition, and it is my responsibility to arrange appropriate drop-off and collection times and to supervise siblings or other children in my care while waiting.

Declaration

I understand that I am liable for all costs incurred for the tuition of the above student. This may include additional fees for examinations, Eisteddfod, seminars and any uniforms or costumes that are required for these events.

Signature (type your full name) Date

Parent / Guardian name (please print)

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(07) 4779 8481
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36 French St
Pimlico QLD 4812
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