Registration Form

Please fill out this form to enrol.

Please read our Terms & Conditions before completing this form.

Note: You are not required to complete this form for casual classes.

Terms & Conditions

Student Name

First Name

Last Name

Student Date of Birth (DD/MM/YEAR)

Students Current Age

Best Contact Email

Best Contact Number

Students Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Name

You may skip this question if you are over 18.

First Name

Last Name

Parent/Guardian Contact Number

You may skip this question if you are over 18.

Parent/Guardian Email

You may skip this question if you are over 18.

If enrolling more than one child please list full name and date of birth

Eg: Ben Jerry 25/12/2010

Where have you/your child danced previously?

Write "N/A" if you have never danced elsewhere

Shirt Size/s

Shirt included with your membership fee. Kids Sizes 2 - 14 & Adult Sizes XS - 3XL. Shirt will be received towards the end of term 1. *Please ensure the size you provide will be suitable to wear for an entire year .

Please list any medical conditions we should be aware of.

Asthma, allergies, injuries etc

How did you hear about us?

I give consent for 'Bloodline Dance Company' and/or persons involved to take photography and/or footage of myself/my child that may be uploaded to 'www.bloodlinedancecompany.com' and their social media platforms

Please tick the below to acknowledge that you have read and understood the information contained in the Bloodline Dance Company Terms & Conditions.

I have read and understood the information contained in the Terms and Conditions.

I agree to abide by the conditions, policies and procedures outlined in this agreement.

Registration Form

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