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, "Angelina Starter" or any other introductory classes.

Class selections can be easily made after looking at our Timetable and Class Descriptions pages.


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: *
 
Administration