Enrolment form - The Jazz Factory

Student's Name*

First Last

Please Select:*

What pre school or school will you be attending in 2021?*

In 2021, what year at school will you be in?

Date of Birth*

DD

MM

YYYY

Please select from the below to view you class options:*

Preferred Classes For Pre School & Kindergarten

Preferred Classes For Primary School

Preferred Classes for High School

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone

Name of Parent/s or Guardian/s*

First Last

Name of Parent/s or Guardian/s

First Last

Mobile Contact Number*

Work Contact Number

Email Address*

Previous dance school (if any):

Is this a trial class?*

Medical Conditions/Allergies?*

Please detail the medical condition/allergy

Permission to use photos/videos for studio marketing?*

Permission to use photos/videos for social media?*

Where did you hear about us?*

Clothing Size:*

This is to help us when ordering costumes.

Please accept:*

I have read and accepted The Jazz Factory Terms & Conditions and Disclaimer.