Marian McDermott School of Dance

Enrolment Form

Please see below form for instructions.

Name of Student:
Date of Birth:
Name of Parent/Guardian (if student aged under 18):

Address - Street:
Suburb:

E-mail Address (for e-newsletters etc):

Phone - Home:
Mobile:
Fax:

Emergency Contact Name:

Phone - Home:
Mobile:

Where did you hear about this class?:

Please state your expectations of this class (ie. what do you expect to gain from this class?):

Please record any medical condition or special need we should be aware of so we can teach more effectively and safely:

Photos: From time to time we use photos of students on our web site. We do not name the students who appear in the photos. If you don't want your photo or your child's photo appearing on the web site please indicate here:
Yes, I agree to using photos
No, please don't use photos

"Positively Ballet"


Before completing this Enrolment Form please contact Marian for advice regarding the most suitable class for your needs.

Fill out this form, print it (in B&W - not colour) and post to Marian or bring it along to your first class.

Term Fees are due for payment at your first class.

Should you have any problems regarding printing this form please click on the following link and it will take you to a
" Word" Enrolment Form.

Home | Back to top of page