Brighton Dance Academy Online Registration

Registration

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The form below is for all students wishing to enrol or trial at Brighton Dance Academy. Please note the form requires your payment method, however credit card details are optional.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Student's Last Name*

Where do you live?

Home Address*

City*

State*

Post Code*

Contact #1

First point of contact: First Name*

Last Name *

Relationship to student (for adults this is 'self')*

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

Second point of contact First Name*

Last Name*

Relationship to student*

How can we contact you?

Home Phone

Work #

Cell # *

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Gender*

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

Cell #

Additional Info

Student Email

School*

Year Level at School*

Year First Enrolled at BDA*

Injuries (if n/a please leave blank)

Special Needs (if n/a please leave blank)

Allergies//Health Conditions (if n/a please leave blank)

Medications (if n/a please leave blank)

Concert Participation Y/N*

Please select any classes you wish to enrol in or trial. The 'Classes by Age' document will help you find relevant classes by year level at school. This can be found on our website.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

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

Cell #

Additional Info

Student Email

School*

Year Level at School*

Year First Enrolled at BDA*

Injuries (if n/a please leave blank)

Special Needs (if n/a please leave blank)

Allergies//Health Conditions (if n/a please leave blank)

Medications (if n/a please leave blank)

Concert Participation Y/N*

Please select any classes you wish to enrol in or trial. The 'Classes by Age' document will help you find relevant classes by year level at school. This can be found on our website.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

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

Cell #

Additional Info

Student Email

School*

Year Level at School*

Year First Enrolled at BDA*

Injuries (if n/a please leave blank)

Special Needs (if n/a please leave blank)

Allergies//Health Conditions (if n/a please leave blank)

Medications (if n/a please leave blank)

Concert Participation Y/N*

Please select any classes you wish to enrol in or trial. The 'Classes by Age' document will help you find relevant classes by year level at school. This can be found on our website.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

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

Cell #

Additional Info

Student Email

School*

Year Level at School*

Year First Enrolled at BDA*

Injuries (if n/a please leave blank)

Special Needs (if n/a please leave blank)

Allergies//Health Conditions (if n/a please leave blank)

Medications (if n/a please leave blank)

Concert Participation Y/N*

Please select any classes you wish to enrol in or trial. The 'Classes by Age' document will help you find relevant classes by year level at school. This can be found on our website.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

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

Cell #

Additional Info

Student Email

School*

Year Level at School*

Year First Enrolled at BDA*

Injuries (if n/a please leave blank)

Special Needs (if n/a please leave blank)

Allergies//Health Conditions (if n/a please leave blank)

Medications (if n/a please leave blank)

Concert Participation Y/N*

Please select any classes you wish to enrol in or trial. The 'Classes by Age' document will help you find relevant classes by year level at school. This can be found on our website.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Terms of Enrolment

1.1. I understand that Brighton Dance Academy assumes that student enrolments will roll over to the next term unless otherwise stated. Due notice must be given via email.
1.2. I understand that BDA reserves the right to adjust a student's enrolment if they have enrolled in an inappropriate class for their age or skill level.
1.3. I understand that once my child has been enrolled in a class, they cannot change their enrolment until the following term.
1.4. I understand that if I wish to remove my child's name from the Academy's database, notice is required via email.
1.5. I understand dance is a physical art form and that use of general touch appropriate to dance training will take place. Students/parents at any time can request to no longer receive physical corrections.
1.6. I understand that first aid will be administered to my child if necessary by a first aid-trained teacher. This includes appropriate touch and an ambulance to be called if the first aid-trained teacher deems it appropriate. The cost of the ambulance and other associated expenses will be passed on to the parents/guardians.
1.7. I give permission for photo and video footage of my child to be used on the BDA website and other such media including, but not limited to, press releases, Facebook and Instagram. BDA teachers with dance specific social media accounts may also post pictures and videos of their student's progress. Photos and videos may be used as stated above unless I provide an email request NOT to have my child's photos/videos used.

I've read the above and agree.

Terms of Concert

2.1. I understand that all students are expected to participate in the annual concert and all costume making is outsourced. A costume levy is payable per concert dance item and is non-refundable.
2.2. I understand that if I do not wish for my child to be involved in the concert, I will notify the school during enrolment so that the costume levy can be waived.
2.3. I understand that after Term 3 has started, no changes to concert classes can be made due to concert preparations.
2.4. I understand that if I do not give the office notice before the deadline, a costume will be ordered for my child and will be non-refundable.
2.5. I understand that whilst every effort is made to ensure children do not have the same costume as previous years, siblings may end up with the same costume.
2.6. I understand that there is a minimum attendance policy in place for the concert and that if my child misses 4 or more classes for a particular dance in Term 3 and 4, they will be taken out of that dance. All costumes and tickets purchased will be non-refundable.
2.7. I understand that in exceptional circumstances, pre-arranged absences in Term 3 and 4 are acceptable, however, the students must uphold the conditions arranged by the teacher; failure to do so will result in the student being taken out of the dance. All costumes and tickets purchased will be non-refundable.
2.8. I understand that the concert dates have been published and that all rehearsals are compulsory to attend.
2.9. Any concert rehearsals missed due to exceptional circumstances must be agreed upon with the office ahead of time. If the spacing and/or dress rehearsals are missed without approval of the Academy, students will be taken out of the concert, all costumes and tickets purchased will be non-refundable.

I've read the above and agree.

Fees & Payment

An invoice for term fees is emailed to the billing contact prior to the start of each term. Please update your JackRabbit account with any changes to your personal information immediately.

3.1. I understand that payment is due 14 days after the date of the invoice.
3.2. I understand that a late fee will be charged if fees are not paid within the 14 day period unless a payment plan has been set up prior to this date.
3.3. I understand that I will loose my sibling discount if fees are not paid within the 14 day period.
3.4. I understand that once an invoice has been sent out for the following term's fees, I will be held accountable or paying the full amount, even if my child leaves or changes classes mid-term. *In Term 1 we have a 2 week grace period for students trialling classes of interest & to be placed in the correct level.
3.5. I understand that no adjustment in tuition fees is made for individual classes missed for personal reasons or due to a public holiday, and BDA does not offer make-up classes. Consideration may be given in exceptional circumstances.

Payment methods:
1. If paying independently, payments can be made by credit card, electronic bank transfer or cheque.
2. If setting up Auto Pay, payments can be direct debited from a credit card or bank account
3. If setting up a payment plan, a schedule must be arranged before the invoice due date, via email.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Account Information

Payment Schedule*

Payment Method*

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