ENROLMENT FORM - TERM 3 ONWARDS

ENROLMENT FORM - TERM 3 ONWARDS
WE ARE ACCEPTING ENROLMENTS FOR OUR PRESCHOOL PROGRAM RIGHT UP UNTIL THE END OF 2025!

This includes our LITTLE STARS and TWINKLE STARS Programs.
Please continue on with this form if
- you would like to ENROL for our Preschool Program OR
- you would like to ENROL for School Aged Dance Cirque & Acrodance Classes
- you would like to express your interest in enrolling in 2026 (information on timetables will be sent to you immediately after they are released)
Student Name*

First NameLast Name
Student Date of Birth*

MonthDayYear
Date
Parent Name*

First NameLast Name
Parent Mobile Number*
Please enter a valid phone number.
Parent Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I would like to:*

Enrol in TWINKLE STARS DANCE WITH ME Program (12 months - 3 years)Enrol in LITTLE STARS DANCE or or LITTLE STARS CIRQUE & TUMBLE Program (3-5 years)Enrol in SCHOOL AGE classes in DANCE CIRQUE or ACRODANCEExpress Interest in Classes for 2026
TWINKLE STARS DANCE WITH ME

RUTHERFORD - WEDNESDAY 10.05-10.35amRUTHERFORD - SATURDAY 10.00-10.30am
LITTLE STARS DANCE / LITTLE STARS CIRQUE & TUMBLE - you can choose more than one

RUTHERFORD - MONDAY 4.00-4.45pm Little Stars Cirque & TumbleRUTHERFORD - MONDAY 4.45-5.30 Little Stars DanceRUTHERFORD - TUESDAY 4.45-5.30pm Little Stars DanceRUTHERFORD - WEDNESDAY 9.15-10.00am Little Stars DanceRUTHERFORD - WEDNESDAY 4.15-5.00pm Little Stars DanceRUTHERFORD - SATURDAY 9.00-9.45am Little Stars Cirque & TumbleRUTHERFORD - SATURDAY 9.45-10.30am Little Stars DanceGRETA - MONDAY 3.45-4.30pm Little Stars DanceGRETA - MONDAY 4.30-5.15pm Little Stars Cirque & TumbleGRETA - WEDNESDAY 4.00-4.45pm Little Stars Dance
DANCE CIRQUE CLASSES - School Aged

RUTHERFORD - THURSDAY - RISING STARS (6-8 yrs) 4.00-5.00pmRUTHERFORD - THURSDAY - SHINING STARS (9-12 yrs) 5.45-6.45pmRUTHERFORD - THURSDAY - SHOOTING/SUPER STARS (13 yrs PLUS) 6.45-7.45pmRUTHERFORD - SATURDAY - RISING STARS (6-8 yrs) 9.00-9.45amGRETA - MONDAY - RISING & SHINING STARS (6-13 years) 5.15-6.15pm
ACRODANCE CLASSES - School Aged

RUTHERFORD - THURSDAY - RISING STARS (6-8 yrs) 5.00-5.45pmRUTHERFORD - THURSDAY - SHINING STARS (9-12 yrs) 5.00-5.45pmRUTHERFORD - THURSDAY - SHOOTING/SUPER STARS (13 yrs PLUS) 7.45-8.30pmGRETA - MONDAY - RISING & SHINING STARS (6-13 years) 4.30-5.15pm
Photo Consent*

I acknowledge and consent to allow Galaxy Talent Academy to use photos and/or videos of my child/myself in publications (such as flyers/brochures), advertisements (such as newspapers or online ads), our studio’s website, or on social media sites (such as the studio’s facebook or instagram account). I understand that in some cases, my child and/or my first name only may be used.I do not agree with the above and do not consent to photos being taken of my child
Medical Information*

Should be Empty:

ENROLMENT FORM - TERM 3 ONWARDS

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