2026 KREATIONZ TRIAL BOOKING FORM

MAIN ACCOUNT HOLDER DETAILS

The Main Account Holder is the person responsible for:
- Paying fees
- Receiving information
Account Holder Name*

First NameLast Name
Relationship to Student*
E-mail*
Mobile*
Postal Address*

Street Address

Street Address Line 2

SuburbState

Post Code

STUDENT 1 DETAILS
Student 1 Name*

First NameLast Name
Gender*

FemaleMaleOther
Date of Birth*

DayMonthYear
Date
Current Age*
Please list any allergies, medications or medical conditions, including action to be taken (if applicable)
STUDENT 2 DETAILS (if applicable)
Student 2 Name

First NameLast Name
Gender

FemaleMaleOther
Date of Birth

DayMonthYear
Date
Current Age
Please list any allergies, medications or medical conditions, including action to be taken (if applicable)
STUDENT 3 DETAILS (if applicable)
Student 3 Name

First NameLast Name
Gender

FemaleMaleOther
Date of Birth

DayMonthYear
Date
Current Age
Please list any allergies, medications or medical conditions, including action to be taken (if applicable)

MEDICAL INFORMATION AND CONSENT
If Student 1, Student 2 or Student 3 has an Anaphalaxis or Asthma Management Plan, or any other relevant documentation please attach it here

Browse Files

Cancelof
Medical Emergency Acknowledgement*

I acknowledge that in case of medical emergency, an ambulance will be called for my child/myself, if necessary.
Do you consent to Kreationz staff giving your child/ren a bandaid if necessary?*

YesNo

TERMS AND CONDITIONS

In order to commence classes with Kreationz, the Terms and Conditions must be read, understood and agreed to.

The Trial Booking Terms and Conditions can be downloaded here.
Please sign here to indicate your agreement to the Terms and Conditions*

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TRIAL PASS PAYMENT

Please select your Trial Pass, along with the quantity of students trialling:

You may select more than one option if you have multiple children trialling different classes*

Little Cirque - Single Trial Pass$25.45AUD

Quantity
Item subtotal:$0.00AUD

Little Cirque - Three Trial Pass$68.18AUD

Quantity
Item subtotal:$0.00AUD

Dance Cirque - Single Trial Pass$30.00AUD

Quantity
Item subtotal:$0.00AUD

Dance Cirque - Three Trial Pass$81.82AUD

Quantity
Item subtotal:$0.00AUD

Enter coupon

Subtotal $0.00AUDTax $0.00AUDTotal $0.00AUD

Credit Card

Apple Pay

Comments
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If you have any issues with this form, please press SAVE and call the Kreationz office on 0422 413 167.

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2026 KREATIONZ TRIAL BOOKING FORM - DANCE CIRQUE