2018 Enrolment

Complete the form below to enrol at Shore Dance

Student's Name:

Gender:

Date of Birth:

Parent/Caregiver's Names:

Email Address:

Home Phone Number:

Mobile Phone Number:

Work Phone Number:

Home Address:

Any previous dance experience?

Any medical or health conditions?

Which class(es) would you like to enrol in? Please let us know your preferred class day/time

How did you find out about Shore Dance?