Enrolment 2021

First Name
Last Name
Address
Post Code
Date of Birth
Age as at Jan 1 2021
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

2021 Enrolment Day

Saturday Jan 23 @ Masonic Hall, 1 Fisher Street, Tusmore

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

Xcel Troupe Auditions
Monday 1st Feb
8, 10 and 12 and under students.
Tuesday 2nd Feb
15 and under and open students

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

2021 Xcel Events

2021 Competition Dates
Dates TBA

2021 Open Week Dates
Dates TBA (Term 2)

2021 Xcel End of Year Production
Saturday December 4th @ Norwood Town Hall

2021 Xcel End of Year Disco *
Saturday December 11th @ Masonic Hall
*Xcel 2021 Students only