2026 Enrolment Form

ExtravaDance 2026 Enrolment
Student 1 Information
Student 1 Name

First NameLast Name
Birthdate

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
School attended:
Medical conditions
Port Studio- Press/hold CTRL to select multiple classes
Wauchope Studio - Press/hold CTRL to select multiple classes
Student 2 Information
Student 2 Name

First NameLast Name
Birthdate

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Medical conditions
School attended:
Port Studio- Press/hold CTRL to select multiple classes
Wauchope Studio - Press/hold CTRL to select multiple classes
Student 3 Information
Student 3 Name

First NameLast Name
Birthdate

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Medical conditions
School attended:
Port Studio- Press/hold CTRL to select multiple classes
Wauchope Studio - Press/hold CTRL to select multiple classes
Parent/Guardian information
Parent/Guardian 1
Email
example@example.com
Phone Number

Area CodePhone Number
Parent/Guardian 2 (if applicable)
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Emergency Contact - *NOT PARENT* (in the event that we cannot contact parents or guardian)

Enrolment fee (child 1)$53.00 AUD

Enrolment fee (child 2)$49.00 AUD

Enrolment fee (child 3)$45.00 AUD

Total $0.00 AUD

ExtravaDance 2026 Enrolment