Registration / Enrolment Form


Welcome!

For the safety and protection of all dancers in our care, a completed enrolment form must be submitted before attending any class or introductory lesson at Red Shoes Dance.
 
Please use this online form for Enrolment / Re-Enrolment, "Little Steps Discovery" and "Red Shoes Discovery" introductory classes.

Class selections can be easily made after looking at our Timetable and Class Descriptions pages. Click here for current Fees.

Fields marked * are required
Child's full name: *
Date of birth: *
Parent/Guardian/Carer's full name: *
Address: *
Email: *
Best contact telephone number: *
Does your child have any medical
conditions we should know about? *		 No
Yes
If Yes, please provide details:
Preferred class/classes: *
How did you hear about us? * Internet Search
Red Shoes Website
Facebook
Google Places/Google+
Online Directories (Kidspot etc)
Referral (friends/family)
Print media
Existing Student
Other:
Please acknowledge by ticking the box below...
* I hereby indemnify Red Shoes Dance and its staff against responsibility for any accident loss or injury suffered by my child during the course of a dance class
Please acknowledge by ticking the box below...
* Should at any time staff consider that my child requires medical treatment, I consent to your obtaining some at my expense
Please acknowledge by ticking the box below...
* I understand that Red Shoes Dance and its staff are only responsible for my child during set class time
I give permission for unnamed images of my child to appear in ANY material used to promote Red Shoes Dance *
Yes
No
NAME OF PARENT/GUARDIAN/CARER completing this online form: *