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TURNING POINTE ACADEMY of DANCE

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					                                   Enrolment Form 2010

                       Please put each student on a different form
                        $18.00 annual registration fee per student

Name                                                      Parent / Guardian

Address

                                                           Postcode

Postal Address

                                                           Postcode

Phone Home                                                Mobile / Work

Fax                                                       Email Address

Date of Birth                                             Age

Emergency contact - An alternative to Parents
Name                                                      Relationship to student

Phone Home                                                Mobile / Work

Medications / Illnesses - List any medication students are taking (eg. ventolin)




Classes attending
   Class                     Day                       Time                        Place




Please note that all students must wear correct class uniform. Fees are due by Week 2 of every term.
Late payment will result in a penalty charge of $5.00 per week that the fees remain outstanding. Missed
classes for any reason are not refundable. Students whose fees are outstanding will not be permitted in
dance concert, entered in exams or eisteddfods and enrolment will automatically be cancelled if
arrangements aren’t made to pay the account. Whilst all supervision is provided, students participate at
their own risk. Students and parents should treat all teachers, students and staff with respect or their
enrolment will be cancelled with disregard to fees paid.

I have clearly read and agree to abide by the conditions above:

Signature of parent/guardian                              Date

Where did you hear about Turning Pointe Academy of Dance?

All notes and information will be emailed - please write email address below for all correspondence

				
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Description: TURNING POINTE ACADEMY of DANCE