RAD BALLET PRIVATE LESSONS REGISTRATION FORM

DATE: August 6th - 9th . TIME slots between: 9.30am -2.00PM . FEE: VAry depending on grade

PAYMENT DIRECTLY TO MS. KIRSTEN POWERS

TIME SLOTS WILL NOT BE RESERVED WITHOUT PAYMENT - REGISTRATION IS COMPLETE ONCE PAYMENT IS RECEIVED

FORM GOES DIRECTLY TO MS. KIRSTEN POWERS ONCE SUBMITTED

 

Please complete the form below

Dancers Name *
Dancers Name
Parent/ Guardian Name *
Parent/ Guardian Name
1st Emergency Contact Number *
1st Emergency Contact Number
2nd Emergency Contact Number
2nd Emergency Contact Number
Address *
Address
Dancers current RAD grade? *
Solo Private or Shared Private? *
Dancers who wish to join another dancer for a private lesson must arrange this themselves with a fellow student who is studying the same grade as them. Maximum - 2 dancers per session. A shared private will only be accepted when a registration form is received from both parties.
Photos *
I agree for my dancer's photo to be taken and allow SGDA to use the images for advertising purposes on posters/brochures/ websites/ social media/ studio notice board.
I agree to the Terms and Conditions on the SGDA waiver form *