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DM Dance CO - Centurion Enrolment Form 2021
New Student Enrolment
1
Dancers Details
2
Parents Details
3
Terms & Conditions
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1
Dancers Details
2
Parents Details
3
Terms & Conditions
Details of Dancer
Date started
*
DD
/
MM
/
YYYY
What are you enroling for?
*
Please select
Dance Mouse
DM Ballerina
Both
Child's Name
*
First
Last
Gender
*
Girl
Boy
Date of birth
*
DD
/
MM
/
YYYY
Age
*
Please select
3 - 2018
4 - 2017
5 - 2016
6 - 2015
7 - 2014
8 - 2013
9 - 2012
10 - 2011
11 - 2010
12 - 2009
13 - 2008
14 - 2007
15 - 2006
16 - 2005
17 - 2004
18+
Grade
*
Please select
Grade 000 - Born 2015
Grade 00 – Born 2014
Grade 0 – Born 2013
Grade 1 – Born 2012
Grade 2 – Born 2011
Grade 3 – Born 2010
Grade 4 – Born 2009
Grade 5 – Born 2008
Grade 6 – Born 2007
Grade 7 – Born 2006
Grade 8 – Born 2005
Grade 9 – Born 2004
Grade 10 – Born 2003
Grade 11 – Born 2002
Grade 12 – Born 2001
School
*
Please Select
Bundi Bos
Hennospark
OTHER
Weirdapark
If other specify
*If your school is not listed
Clothing size
*
2-3yrs
3-4yrs
5-6yrs
7-8yrs
9-10yrs
11-12yrs
13yrs - 14yrs
S
M
L
Payment Option
*
Monthly
Annual
PLEASE NOTE : 10% Discount on Annual payments only valid until end January
Allergies if any
1
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3
