The Perth School of Ballet Online Registration

Registration

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Welcome to The Perth School of Ballet's online registration portal. Please provide your information below and click Submit when complete. Credit cards are NOT charged at this time. All enrolments are considered pending until we have reviewed your registration and posted any fees as due. Applicable discounts will be applied prior to posting any fees to your account.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Post Code*

Home or Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell # *

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=dd/mm/yyyy)

Additional Info

Student Email

School*

Allergies (please speak to your class teacher)

Medications (please speak to your class teacher)

Year started at PSB*

Name of Primary/High School

Choose any filter to begin viewing available classes.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=dd/mm/yyyy)

Additional Info

Student Email

School*

Allergies (please speak to your class teacher)

Medications (please speak to your class teacher)

Year started at PSB*

Name of Primary/High School

Choose any filter to begin viewing available classes.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=dd/mm/yyyy)

Additional Info

Student Email

School*

Allergies (please speak to your class teacher)

Medications (please speak to your class teacher)

Year started at PSB*

Name of Primary/High School

Choose any filter to begin viewing available classes.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=dd/mm/yyyy)

Additional Info

Student Email

School*

Allergies (please speak to your class teacher)

Medications (please speak to your class teacher)

Year started at PSB*

Name of Primary/High School

Choose any filter to begin viewing available classes.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=dd/mm/yyyy)

Additional Info

Student Email

School*

Allergies (please speak to your class teacher)

Medications (please speak to your class teacher)

Year started at PSB*

Name of Primary/High School

Choose any filter to begin viewing available classes.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Assumption of Risk

I hereby give permission for my child to participate in the Dance Classes at "The Perth School of Ballet". I understand whilst all care will be taken, no responsibility for injury can be accepted by the school.

I've read the above and agree.

Photos and Videos

I give permission for my child to be photographed and videoed at classes, rehearsals and at the concerts, and for these images to be used for advertising or promotion by "The Perth School of Ballet".

I've read the above and agree.

Payment

I agree to have my credit card/bank card deducted upon approval of my registration (within 48 hours of registration). If there is any problem with your registration, we will ring you before deducting fees from your card.

I also agree to have payment deducted at the start of each Term for fees for that term. You will receive an email a few days prior to fees being deducted from your account confirming your fees for the term.

I've read the above and agree.

Medical Emergencies

We will call the appropriate medical responders if someone gets hurt, then we will notify you.

I've read the above and agree.

Subscription

I agree for my contact details to be added to The Perth School of Ballet database for School related communications only.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Post Code

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank State Branch (BSB) Number (6-digit number)

Account Number