Online Enrolment - Denise Utz School of Dance

Enrolment Form 2019

Name of the Student*
Please use separate form for additional children
Enrolment / Re-Enrolment*
- Returning Student (Enrolled 2018)
- New Student
Date of Birth*
Child's age at 1st January 2019*
Mother's Name*
Father's Name*
Name of person paying the Invoice*
Home Adress*
Post Code*
Phone No. 1*
Phone No. 2*
Email Address for Newsletters and Invoices*
Additional Email Address
Pre- School / School Enrolled 2019*
Year at School in 2019*
Dance Class choices 2019*
Please specify: Class Name / Day / Time
Date Commencing first class*
Addtional Information (illness, asthma, previous training etc)*
How did you hear about this Dance School ?*
*
- I have read, understood and agree to the Polices and Terms of Enrolment