Just Dance It Online Registration

Registration

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RETURNING and NEW STUDENTS TO PLEASE FILL OUT FORM BELOW :) Welcome to Just Dance It in 2020! Please complete the following registration form to secure your spot!

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Surname Last Name*

Where do you live?

Home Address*

City*

State*

Postcode*

Home or Primary Phone*

Additional Info

Emergency Contact Info*

Contact #1

Primary Contact First Name*

Last Name *

Type*

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

Secondary Contact First Name*

Last Name*

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

School*

Grade Level

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the classes you wish to enroll into. If you are unsure please leave this blank and contact Miss Sarah on 0411 311 745 or info@justdanceit.com.au

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

School*

Grade Level

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the classes you wish to enroll into. If you are unsure please leave this blank and contact Miss Sarah on 0411 311 745 or info@justdanceit.com.au

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

School*

Grade Level

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the classes you wish to enroll into. If you are unsure please leave this blank and contact Miss Sarah on 0411 311 745 or info@justdanceit.com.au

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

School*

Grade Level

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the classes you wish to enroll into. If you are unsure please leave this blank and contact Miss Sarah on 0411 311 745 or info@justdanceit.com.au

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

School*

Grade Level

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the classes you wish to enroll into. If you are unsure please leave this blank and contact Miss Sarah on 0411 311 745 or info@justdanceit.com.au

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

(Show-Hide Details)

Media Release

I've read the above and agree.

Studio Terms and Conditions

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies and Agreements (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Required Policies and Agreements

(Show-Hide Details)