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HOME
ABOUT US
Vision, Mission & Purpose
Our Values
OUR STUDIOS
TEACHERS
2026 FEES
POLICIES
CLASSES
PRESCHOOL DANCE CLASSES
CONCERT, EXAMS, COMPETITIONS & PERFORMANCE
TIMETABLE
LOCATIONS
FREE TRIAL
ENROL NOW
NEWS / EVENTS
Web Site
Students First Name
*
Students Last Name
*
Students Date of Birth
*
Does the student have Aboriginal or Torres Strait Islander origins?
No
Yes
Students Gender (Please list any preferred pronouns)
Primary Parent / Guardian / Contact Full Name
*
NB If student is 18yr or over, please enter student name here
Relationship
*
NB if student is 18yr or over, please enter "Student" here
Primary Phone
*
NB if student is 18yr or over, please enter student phone number
Primary Email
*
NB if student is 18yr or over, please enter student email
Mailing Address
*
Parent / Guardian 2 Full Name
Relationship
Secondary Phone
Secondary Email
Does the student have any allergies?
*
No
Yes, non-anaphylaxis
Yes, anaphylaxis
If yes, please list below including any anaphylaxis instructions
Does the student suffer from any medical condition?
*
No
Yes, Asthma
Yes, Epilepsy
Yes, Diabetes
Yes, Other
If other, please list below
Does the student suffer from any impairment or disability?
*
No
Yes, Vision Impairment
Yes, Hearing Impairment
Yes, Speech Impairment
Yes, Other
If other, please list below
Further comments on the students health and/or ability
What past dance experience does the student have?
Estimate Clothing Size at the end of this year (for costume purposes)
*
Child 2
Child 4
Child 6
Child 8
Child 10
Child 12
Child 14
Adult 8
Adult 10
Adult 12
Adult 14
Adult 16
Adult 18
How did you hear about Yarra Heights Dance Academy?
*
I am an existing student
Word of mouth
Internet / Google search
Social Media (Facebook / Instagram)
Drove past / signage
Other
If other, please list below
Please refer to the class timetable and list below the code of the classes you wish to enrol in Eg 26TH1, 26F2
*
Please indicate if the student is interested in any of the following programs:
Dancestep student assistant teaching program (secondary school students only)
In-house Talent Agency
Private singing lessons
Private dance lessons
Competition Solos/Duos/Trios
Jazz technique development / exams
Ballet technique development / exams
Tap technique development / exams
Contemporary technique development / exams
Musical theatre technique development / exams
Please refer to the policies page of our website. Please indicate below that you have read and accept our terms and conditions:
*
I have read and accept the Enrolment Terms and Conditions
Please refer to the policies page of our website. Please indicate below that you have read and accept our code of conduct:
*
I have read and agree to the Code of Conduct
An enrolment fee of $45 must be paid to secure your place. Account Name: Yarra Heights Dance Academy Pty Ltd Bank: Westpac BSB: 033 149 Acct No. 495364
*
I agree to pay the enrolment fee prior to commencing classes
Parent full name (or student full name if 18yr or over)
*