Enrolment Form

* Student's Name 
* Address 
* Suburb 
* Postcode 
Home Phone 
Mother's Name 
Mother's Mobile 
Father's Name 
Father's Mobile 
Emergency Contact Name 
Emergency Contact Phone 
* Birthday 
Age 
Email Address 
Medical Information 
Previous dance experience  Yes No
If Yes - give details
Exams taken  Yes No
If Yes - give details
How did you hear about us?  Drive by   Flyer   Phonebook   Website   Newspaper
Friend - Name
Other
* Student Category 
Pre Junior 2-4yrs Intermediate 2 10-12yrs
Junior 1 4-6yrs Pre Senior 12-13yrs
Junior 2 6-8yrs Senior 13-18yrs or Open 18+
Intermediate 1 8-10yrs Other
CSDS conducts tuition in various Dance Styles. Due to restricted class sizes, this form is a request to enter the classes selected. To assist in your selection, please view a full Timetable of our classes. Refer also to our CSDS Fees. Please select from the following available classes for your age group/student category. If the class has been filled we will contact you regarding suitable alternatives.
Classes  Currently no classes for the selected Student Category
Additional Comments 
I have read the Info section of the website and the CSDS Handbook
By submitting this Online Registration Form I am agreeing to the CSDS terms and conditions of enrolment