Just Dance It Online Registration

Registration

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Welcome to Just Dance It in 2019! 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

Contact #1 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

Contact #2 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

Media Release

I give unrestricted permission for my child's images/Video's to be used in print, video, digital media and social media. I agree that these images may be used by Just Dance -It for a variety of advertising purposes and that these images may be used in conjunction with any video or digital images.

I've read the above and agree.

Studio Terms and Conditions

I understand that all classes (attended & missed) must be paid for.
I understand that all classes must be paid before my child can participate.
I understand that Invoices are emailed at the end of each term only if outstanding.
I understand that Fees are automatically credited if a class is cancelled for reasons out of our control.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments