Complete our enrolment form and submit.

This information will be sent directly to our office


Student's Name *
Student's Name
Parent/Caregiver's Name
Parent/Caregiver's Name
Email Confirmation *
Email is our preferred form of communication for all studio notices. Please ensure you select NO if you do not want to receive email communications. Can we send you emails?
Please list any serious medical condition/special needs/learning difficulties that we should be aware of. (e.g. diabetes, asthma, hearing difficulties, etc.) Please write "none" if there are no known issues.
Please list the classes you wish the student to undertake
Please list any previous dance experience, if any, to enable us to put you in the right class.
Declaration *
By enroling my child at EXTREME DANCE, I accept responsibility for payment of the tuition fees for all classes in which my child is enrolled and accept the Terms & Conditions of Enrolment as stated in the Studio Information Pack. I understand that EXTREME DANCE from time to time engages photographers/videographers for studio classes, events & performances and that any photographs/footage captured may be used for studio purposes including publicity at a later date. By enrolling my child, I give permission for my child's image to be used.