Registration Form

Dance Avenue Registration

This is the online registration form for Dance Avenue. Once you submit the form it will be emailed to the Dance Avenue team and someone will be in contact with you to confirm the registration.

Check the schedule of fees and current timetable, or contact the studio for updated class costs and times.

Required *

Surname: *

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Dancer's name: * ##Enter the first name of the person being registered. Use multiple forms for multiple applicants.

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Date of Birth: Required in the form of DD/MM/YYYY

Required in the form of DD/MM/YYYY

Age: *

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Gender: * Male Female

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Home phone: * ##Enter the best contact phone number for the applicant. Must only contain numbers, including area code. No spaces or brackets can be used.

Must only contain numbers, including area code. No spaces or brackets can be used.

Mobile phone: * ##Enter your mobile phone number. Must only contain numbers, including area code. No spaces or brackets can be used.

Must only contain numbers, including area code. No spaces or brackets can be used.

Street Address: *

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Suburb & Post Code: *

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Email Address

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Promotional

Check this box if you would like to recieve promotional material from Dance Avenue in your email.

Emergency Contact: *

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Emergency Phone: *

Only enter numbers, including area code. No spaces or brackets.

Doctor's Name: Doctor's contact details are required if a medical emergency should arise to ensure the best care is provided.

Doctor's Phone: Doctor's contact details are required if a medical emergency should arise to ensure the best care is provided.

Only enter numbers, including area code. No spaces or brackets.

PLEASE NOTE: If no details are submitted for your regular doctor, then you authorise Dance Avenue to utilise any medical practicioner available.

Dancing Styles: * SELECTIONS:##For multiple selections, press the 'Ctrl' key as you click your selections.

Please select which classes you are interested in.

Allergies: * ##A record of allergies is kept by Dance Avenue in an attempt to avoid potential issues, however, the we cannot guarantee that contamination of allergents will not occur.

Please note any known allergies, or enter "None Known" if you don't have any.

How did you hear about Dance Avenue:

I have read and accepted the Dance Avenue Terms and Conditions: *

You must confirm that you shall abide by Dance Avenue's Terms and Conditions before you can register.

By checking the box above, you agree to Dance Avenue's standard Terms and Conditions. If you do not have a copy, please contact the Studio prior to submitting your registration.

I have checked the fees and schedules: *

You must confirm you are aware of the current fees and schedules before you shall be allowed to register.

By checking the box above you are acknowledging that you have checked the current class fees and schedules and agree to payment of them in accordance with Dance Avenue's Terms and Conditions.

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