2026 Casual Registration Form

2026 Casual Registration Form
PART 1: REGISTRATION DETAILS
Dancer details
Dancer Name*

First NameLast Name
Dancer Date of Birth*

DayMonthYear
Date
Dancer's age*
Dancer's pronouns*
she/her, he/him, they/them etc
Name of the school dancer attends*
Dancer's Year at School*
Dancer's email (please only complete if you want the dancer to receive contact from Quantumn Leap in addition to the parent/guardian identified below)
example@example.com
Dancer's Phone Number (please only complete if you want the dancer to receive contact from Quantum Leap in addition to the parent/guardian identified below)
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Communications Contact

Person responsible for receiving and responding to communications from Quantum Leap
Parent/Guardian Name*

First NameLast Name
Parent/Guardian mobile number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian email address*
example@example.com
Parent/Guardian Finance Contact

Person to receive invoices from Quantum Leap
The person to receive invoices from Quantum Leap is:*

The same as aboveDifferent, as indicated below
Parent/Guardian Name

First NameLast Name
Parent/Guardian mobile number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Classes
You can find more information about each of our classes and levels here: https://www.ql2.org.au/timetable-class-information
Class Agreement*

I understand that each class I enroll in costs $250 inc GST for the termI understand that the cost to participate in other Quantum Leap programs, workshops, labs or masterclasses will be additional to the cost of these classes.
Level 1 and Level 3 Contemporary Technique and Creative Lab are currently at capacity and we are not taking new students. If you would like to find out more, or join our waitlist, please contact classes@ql2.org.au.
I’d like to enroll in [select all that apply]:

Level 2 Contemporary Technique Mondays 5:00pm-6:15pm (75 minutes)Level 2 Creative Lab Mondays 6:30pm - 7:45pm (75 minutes)Ballet A Tuesdays 5:30pm-6:30pm (60 minutes)Ballet B Tuesdays 4:15pm-5:30pm (75 minutes)Ballet C Thursdays 6:45pm-8:00pm (75 minutes)Extension Contemporary Tuesdays 5:30pm-6:45pm (75 minutes)Creative Moves (Ages 5-7) Thursdays 4:00pm-4:45pm (45 minutes)
Fee Payment

Select the number of classes you have chosen to enroll in below.

My Products*

1 term of casual classes

$250.00AUD Quantity

Total

$0.00AUD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

PART 2: AGREEMENTS
At Quantum Leap, we are committed to providing a safe, creative, and inspiring environment where you can develop your skills, express your creativity, and be part of a supportive dance community. 

This  part of the form outlines guidelines for participation, and agreements for you to sign. Please read through this section carefully to ensure you understand and agree to the terms of participation. If you have any questions, please be in touch. 
1. Attendance and Participation 
Attending class consistently will ensure the most efficient development for you as a dancer. We encourage you to attend class every week and participate fully. 
 
Attending classes is not just about developing your dance skills. Being active, belonging to a community and having a sense of purpose all contribute to good mental health. We encourage you to commit to classes for yourself, and as part of the Quantum Leap community. For further information on the benefit of arts for mental health, visit this link. 
 
We encourage you to prioritise your dance classes as part of your regular routine, even when you are busy. Learning how to manage your time is another important life skill. When you have school or university deadlines, moving your body will give you a break and allow you to process information in different, perhaps deeper ways. 
 
What if I am injured, or not feeling well? 
Learning how to participate when you are not feeling your best is a good life skill. Often, it is still possible to participate in class, in a modified way. Quantum Leap staff will support you to do this, when you need it. 
 
If you are unwell: 
1. If you have active symptoms – including vomiting, diarrhoea, coughing, sneezing – please stay at home to minimise the risk of passing on your illness to others. 
2. If you are feeling unwell but you are not symptomatic, we encourage you to attend and participate as best you can. Let your teacher know how you are feeling so they may help you adjust class content as required. Your participation may involve observing at times. 
3. If you become unwell during class, your teacher may direct you to the Quantum Leap staff member on site for support. If you are unable to continue, we may contact your parent/guardian to collect you before the scheduled end of class. 
If you are injured: 
1. If you arrive at class with an injury, ensure this is communicated to Quantum Leap staff and your teacher, before class begins. Your teacher may help you adjust class content as required. Your participation may involve observing at times. 
2. If something happens during class, which impacts your ability to participate fully, ensure this is communicated to your teacher, and Quantum Leap staff. 
As a participant, you agree to:*

Attend consistentlyArrive ready to commence class on time and participate fullyAdvise Quantum Leap by email if you cannot make a classCommunicate any injuries or issues affecting your ability to participate in class to your class teacher and Quantum Leap staff member
As a parent/guardian, you agree to:*

Support the consistent attendance of your young dancerSupport your young dancer to arrive ready to commence class on time and participate fullyCollect your young dancer if they become unable to participateCommunicate any injuries or issues affecting your young dancer to a Quantum Leap staff member
2. Health and wellbeing 
To support your health and wellbeing, Quantum Leap agrees to: 
1. Facilitate professional dance experiences for you and support your development as a young dancer within this environment - with information, explanations and open dialogue. 
2. Create and maintain a safe working environment for you. This includes providing working spaces with dance-safe flooring to support dynamic movement. 
3. Provide a thorough warm up at the commencement of each class. 
4. Facilitate an inclusive and respectful working environment, and methodology.  
5. Provide clear direction, instruction and feedback where appropriate.  
6. Be available for discussion. 
As a participant, you agree to:*

Arrive in time to prepare for, and commence class, not distractedEngage in ways of working that consider and support the overall health and wellbeing of the group. This includes respecting your fellow dancers, teaching artists and staff.Use common sense to keep yourself safe and help create a safe environment for everyone involvedReport anything you feel is unsafe to Quantum Leap staff
As a parent/guardian, you agree to:*

Support your young dancer in the aboveCommunicate any individual access needs of your young dancer to Quantum Leap as required (see below)
Health information
Are you currently managing any injuries, allergies or health concerns you would like us to know about so that we can support your participation?
Individual Access Needs 
We invite you to describe how Quantum Leap can support any individual needs you have and facilitate the best experience for you in our programs. Please include any information you think might be helpful for us to know. 
Level of support required 
Considering the above, let us know the level of support required and how we might provide it.

High: I require Quantum Leap to manage this concern directly with my child during classes (please detail support required below)Medium: I require Quantum Leap to be prepared to manage this concern with/for my child during classes (please detail support that may be required, and what to look out for below)Low: My child will manage this concern independently. In the unlikely event that they require support from Quantum Leap during class, they will request support explicitly
If you selected either high or medium levels of support required, please detail that support below. Please attach an emergency plan for conditions such as asthma or allergies. 
Please note: Quantum Leap programs are not currently resourced to provide ongoing one-on-one support for participants. If your young person requires a higher level of support than we can provide, we will be in touch to discuss this with you. 
3. Image Release
From time to time, Quantum Leap engages professional photographers and/or videographers to capture our programs and participants. 
 

I hereby give my consent for Quantum Leap to record, copy, edit, adapt, modify, distribute or exhibit my image, likeness, voice and/or transcript, in whole or in part, in any form or media, and including the right to sublicense these rights for educational and promotional/publicity purposes for an undefined period of time. I understand that I will not receive any payment or consideration in agreeing to this release.
*

I agree to the above (participant)I agree to thee above (parent/guardian)I/we do not give my/our consent to be photographed or videoed by Quantum Leap, as part of the class program
4. Venue Security
Our home at Gorman Arts Centre is located on a public thoroughfare adjacent to the Canberra CBD.  

To ensure the safety of all staff, volunteers and participants, Quantum Leap has put in place the following requirements: 
- Shoes must be worn when arriving, leaving and moving between spaces at Gorman Arts Centre. 
- The front door of either the Studio or A Block may be locked during class times. 
- Quantum Leap recommends accompanying your young dancer to and from the front door of the venue. Please be aware that Quantum Leap staff are not available to accompany dancers around the venue to car parking areas.
*

I agree to the above (participant)I agree to thee above (parent/guardian)
5. Child Safety
Quantum Leap commits to providing a welcoming and supportive environment for young people to explore dance and artistic expression. This includes promoting child safety and protecting all young people’s best interests. 

Quantum Leap values diversity of all kinds. We have a zero-tolerance policy regarding discrimination against any child (or adult) based on their gender, race, religious beliefs, age, ability, sexual orientation, or family or social background.  

All Quantum Leap staff, artists, teachers and volunteers adhere to our Child Safety Policy. This agreement aims to nurture a culture that promotes children's safety, wellbeing and participation. 

Any actual or suspected inappropriate behaviour or abuse should be reported to our Child Safety Officers: 
- Alice Lee Holland
- Natalie Wade
- Emma Batchelor
Quantum Leap also commits to seeking the views and experiences of our community through open discussion, surveys and consultation.  
*

I agree to the above (participant)I agree to thee above (parent/guardian)
PART 3: TERMS AND CONDITIONS
You are registering as a casual participant on a term-by-term basis.
 
CHANGE OF MIND 
We do not provide refunds for change of mind. 

Please note, young dancers may be invited to shift levels, if/as recommended by Quantum Leap teaching artists and/or staff during the year. On acceptance, this would alter your weekly schedule. 

INJURY OR ILLNESS – SHORT TERM 
Please refer to Part 2 of this form: Health and Wellbeing regarding Attendance and Participation. 
 
INJURY OR ILLNESS – ONGOING  
If your attendance is severely impacted during the year due to ongoing injury or illness, please provide Quantum Leap with a medical certificate, and arrange an appointment to discuss.
*

I agree to the above (participant)I agree to thee above (parent/guardian)
PART 4: CONSENT
This document is a legally binding agreement between The Dancer or their legal guardians, and QL2 Dance Incorporated ABN 78 745 535 672. 
Please confirm the following:*

The dancer is under 18, and as their legal guardian listed above, I have full legal power to enter into this agreement with QL2 Dance Inc where it does not conflict with any existing commitment. Where there is more than one Guardian, any responsibility of “The Guardians” is also a responsibility of each of us individuallyI, the dancer, am 18 years old or over and have full legal power to enter into this agreement with QL2 Dance Inc where it does not conflict with any existing commitment.
I/we:  
- Consent to the Participant being under the authority and care of QL2 Dance and its employees and/or delegates. 
- I consent to the information provided in this form being made available to QL2 staff, volunteers and others QL2 may delegate, if and when appropriate. 
- Expressly assume the risk of participating in programs with QL2 Dance. I/we release and agree to indemnify and hold harmless QL2 Dance and its officers, agents, and staff from any and all claims resulting from or arising out of my participation in the program including without limitation all claims, demands, causes of action, suits, losses, or damages due to my injury or death during my participation. 
- Agree that QL2 may determine, in its absolute discretion, whether the Participant may commence or continue in any activity; and agree that QL2 may remove the participant from programs if the Participant acts significantly contrary to this Agreement. 
- Consent to QL2 making decisions or performing actions which QL2 in its absolute discretion judges to be necessary or desirable for the welfare of the Participant or other participants. 
- Agree that, while QL2 will attempt to contact us prior to any emergency action, QL2 is empowered to act in its absolute discretion whether or not such contact is successfully made.   
- Agree to provide any medication required or advised for the Participant, together with instructions for its use by the Participant and documentation where appropriate from a medical practitioner; and accept that while we may notify QL2 of health issues or medication for the Participant, QL2 does not undertake to manage or treat health issues, maintain a treatment plan, or administer medication. 
Signature (dancer)*
Signature (parent/guardian)*
Should be Empty:

2026 Casual Registration Form

PART 1: REGISTRATION DETAILS

Dancer details

Parent/Guardian Communications Contact

Parent/Guardian Finance Contact

Classes

Fee Payment

PART 2: AGREEMENTS

1. Attendance and Participation

2. Health and wellbeing

Health information

Individual Access Needs

Level of support required

3. Image Release

4. Venue Security

5. Child Safety

PART 3: TERMS AND CONDITIONS

PART 4: CONSENT

1. Attendance and Participation 

2. Health and wellbeing 

Individual Access Needs 

Level of support required 