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New Student Enrolment Form
Please complete and submit this form so we can enrol you in our classes
(or for a Trial Class) and we will get back to you shortly.
Bass Coast Ballet School
Enrolment Form
*
Indicates required field
How did you hear about Bass Coast Ballet School?
*
Please choose
Referred by family/friend
Facebook
Maternal & Child Health Nurse
Internet search e.g. Google
Newspaper Ad
Child Care/Kindergarten/School
Other
Name of person who referred you (so we can thank them)
*
Class/es you are interested in
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Preschool Ballet/Jazz (2-4 year olds)
TUESDAY Junior Ballet/Jazz/Tap (4-7 year olds)
FRIDAY Junior Ballet/Jazz/Tap (4-7 year olds)
Hip Hop (4-11 year olds)
Theatrical Jazz (7 years +)
Inter Ballet/Jazz/Tap/Lyrical (7-11 year olds)
Tweens/Senior Lyrical (11 years +)
Tween/Senior/Adult Tap (11 years +)
Tween/Senior/Adult Jazz/Contemporary (11 years +)
Tween/Senior Open Ballet (11 years +)
Inter/Tween/Senior Stretch & Flexibility & Pre-Pointe (7 years +)
TUESDAY Solo lessons
FRIDAY Solo lessons
Please choose the class or classes you wish to enrol in
Is the student under 18 years old?
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Yes - please complete the following parent details
No - please go to the student details section
Parent/Guardian Details
Parent/Guardian's Name
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First
Last
Parent/Guardian's Mobile Number
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Contact Email Address
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Home Address - not PO Box
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Suburb
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Postal address - if different from street address
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Emergency Contact - other than parent or guardian
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Relationship to student
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Is there a custody arrangement we should know about?
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No
Yes - please provide copies of relevant court orders
Emergency Contact
Emergency Contact's phone number
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Student Details
Student's Name
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First
Last
Student's Contact Number - if adult student
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Date of Birth
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Day / Month / Year
Is the student
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Female
Male
Prefers not to say
Student's Home Address
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Suburb
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Name of Kinder/School (if under 18)
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Year level
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Does the student have any previous dance experience? If yes, please provide details
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Does the student have any physical or behavioural issues that we should be aware of? If so, please provide details
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Does the student have any medical conditions, including allergies? If yes, please provide details
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Terms and Conditions
Please read and agree to the following Terms and Conditions to be able to enrol and dance at Bass Coast Ballet School.
I understand that I need to enrol a student to be able to come along for a free trial class. This is because our insurance only covers students who are enrolled, and it also allows us to be aware of any relevant medical information. If you don't wish to proceed with your enrolment after a trial class, you just need to email bcballet1@gmail.com the next day to let us know and there will be no fees charged.
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I agree
I understand that fees are charged on a per-term basis, at the beginning of each term, and are non-refundable. If we cancel a class you will receive a credit. Fees are not refundable for illness/non-attendance. Please be advised that all term fees must be paid by the end of each term to continue your enrolment in the next term. I acknowledge that I must email the school prior to the start of the next term if I wish to cancel my enrolment, and that if I do not provide notice I will be liable for the fees incurred during that subsequent term.
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I agree
I agree to pay an annual $25 Registration & Insurance Fee per family. I acknowledge that this fee must be paid to be enrolled with Bass Coast Ballet School.
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I agree
I understand the following conditions in relation to withdrawing from classes - In your first term: If you choose not to continue after your first lesson, you must email bcballet1@gmail.com before the next lesson to cancel your enrolment (and receive a refund of your term fees, if applicable). For ongoing terms: Notification must be received by email to bcballet1@gmail.com before the start of the upcoming / next school term to avoid being enrolled and charged for the class. If no notification is received by email prior to the start of each term you will be charged for the entire term of classes.
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I agree
Permissions
Please read and respond to the following Permissions applicable to Bass Coast Ballet School.
I provide permission for Bass Coast Ballet School to provide First Aid to my child if required, and to act in a medical emergency, inclusive of calling an ambulance if necessary. I agree that should an ambulance be required, I am liable for any costs incurred.
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I agree
I disagree
I agree to provide all medical information relevant for the enrolled student(s) and will update Bass Coast Ballet School should any changes occur. I also agree that any medications relating to life-threatening conditions, including but not limited to asthma and anaphylaxis, potentially required by the student will be brought to each class.
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I agree
I understand that Bass Coast Ballet School may use images of myself (if adult student)/my child/ren taken during dance activities or performances for the purposes of promotional material. I understand that these images may be publicly accessible on Bass Coast Ballet School's social media platforms, in newsletters and/or flyers, and on the website. Photos may also be published on the official social media pages and websites of the photographers.
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I agree to photos being used
I do NOT agree to photos being used
I understand that videos may be taken of students during classes, as a learning tool and for promotion. I also understand that, by performing in the end of year concert, I am giving permission for myself/my child to be photographed and filmed as part of the concert recording. I understand that the video of the concert is distributed to all those who attend the concert and individual dancers cannot be blurred out or removed from the recording. Videos may also be published on our social media pages and website, as well as on the official pages and website of the videographers.
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I only agree to videos of concerts
I agree to videos of classes and concerts
I do NOT agree (and understand that this means that I/my child will not participate in the end of year concert)
Acknowledgement
By submitting this form you agree to the Terms & Conditions of enrolment at Bass Coast Ballet School
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I agree
Parent/Guardian's Name
*
First
Last
Student's Name
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First
Last
[object Object]
Date
*
Submit
HOME
Contact Us
Find Us
ABOUT US
Our Teachers
Our Committee
Our Code of Ethics
Our Rules of Association
CLASSES
Dance Genres
Term Dates
Class Timetable
Annual Showcase
Annual Concert
ENROLMENT
New Student Enrolment Form
>
Photo Permissions Form
Fees
>
Invoicing & Payments
Get Active Kids Vouchers
UNIFORMS
Where to Purchase Uniforms