Toorak School of Dancing

Established 1980

ENROLMENT FORM

Please complete and submit our on-line enrolment form or, if you prefer, you can download this pdf and submit by mail.

In submitting this enrolment form you acknowledge that you are the child's parent or legal guardian and that:

"In case of accident or illness - when I cannot be contacted, the staff of the Toorak School of Dancing have my permission to seek medical assistance for my child and I will be responsible for any costs involved."

Student's Name *
Street Address *
Suburb *
Postcode *
Date of Birth *
Phone
Email *
Details of Parent or Legal Guardian - details of at least one required
Mother's Name
Mother's Mobile
Father's Name
Father's Mobile
Emergency Contact Number *
Commencement Date		(optional)
Classes - check all the classes for enrolment:
	Ballet
	Jazz
	Tap
	Examination
Please advise any medical conditions we should be aware of, if none, insert "Not Applicable" *

Photo Consent (optional)
I hereby grant permission for Toorak School of Dancing to use any photograph of the student named above for the purpose of promoting the school via printed or electronic means (website).
		* Mandatory values

Camberwell VIC 3124 ~ For further details, phone Sylvia 03 9555 0035, Debra 03 9729 8574 or email