Enrolment 2019

First Name
Last Name
Address
Post Code
Date of Birth
Age as at Jan 1 2019
Parent/Guardian's Name
Home Phone
Work Phone
Mobile Phone
Email

Would you like to receive your invoices via email?
Would you like to receive your invoices via email?	Yes	No

Doctor's Name Doctor's Phone Number Medicare Number

Ambulance Cover?
Ambulance Cover?	Yes	No

Medical History

Does the student take any medication?
Does the student take any medication?	Yes	No

If Yes, please provide details

Does the student have any condition which may affect their ability to participate?
	Yes	No

If Yes, please provide details

Emergency Contact Person

(if both parents can’t be reached) Name Home Phone
Work Phone
Mobile Phone
Relationship to child(ren)

Class Requirements

Term
	Term 1	Term 2	Term 3	Term 4

Dance Classes Required
	Acro	Classical Ballet	Jazz/Funk	Contemporary	Tap	Musical Theatre	Hip Hop

Days Time

How did you hear about Xcel Dance Studios?
	Local Newspaper	Flyer	Friend	Other

If Other

Please Read and Agree

I wish my child/ren to attend Xcel Dance Studios and understand the studio and its principal/teachers will take all possible care but will not be liable for any injury, damage or loss which he/she may sustain to his/her person or property.

In the event of an accident or illness, I authorize Xcel Dance Studio staff to obtain all necessary medical assistance/dental attention and treatment as required at my expense.

NB Parents will be notified immediately if any such action.

I Agree

Xcel News

2019 Enrolment Day

Saturday Jan 19 @ Masonic Hall

9:00 - 10:30am all children under 12 years
10:30 - 12:00pm all children 12 years and above

Exciting new personalised uniform range will be available to view and order at Enrolment Day! See our uniforms page for more information.

2019 Xcel Events

Open Week
Held in Term 2
Dates TBA

2019 Competition Dates
Dates TBA

2019 Xcel End of Year Production
Saturday December 7th @ Norwood Town Hall

2019 Xcel End of Year Disco *
Saturday December 14th @ Masonic Hall
12:00pm - 2:30pm
*Students only