Enrolment form

Name of Parent/s or Guardian/s*

First Last

Address*

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

Mobile Contact Number*

Work Contact Number

Email Address*

Student's Name*

First Last

Date of Birth*

DD

MM

YYYY

Please Select:*

In 2022, what year at school will you be in?*

What pre school or school will you be attending in 2022?*

Medical Conditions/Allergies?*

Please detail the medical condition/allergy

Where did you hear about us?*

Permission to use photos/videos for social media and studio marketing?*

Clothing Size:*

This is to help us when ordering costumes.

Is this a trial class?*

Previous Dance Experience?*

Please list previous dance experience if any:

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

Preferred Classes For Toddler and Preschool 2022

Preferred Classes For Primary School 2022

Preferred Classes for High School 2022

Please accept:*

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