Student Name

First & Last Name

Student Date of Birth

Email (Use a parent/Guardians email if under 18)

Address

Parents Name

*If over 18, write your full name again

Parents Phone Number

*If over 18, write your number

Emergency Contact Name

Emergency Contact Phone Number

Select a Prefer Age Group

If you would like to enrol in a second class, select below:

Is this your first time dancing with A2D?

Yes

No

Please Read the following terms fees and conditions for 2025:

Please Carefully Read all the terms & conditions before continuing. Click Here to view fees and conditions.

Tick if you have read and agree to the Fees and Conditions

Tick if you have read and agree to the A2D Rules and Regulations

IMPORTANT - Tick if you understand that failing to comply with the fees and conditions will mean you will not be able to participate in classes.

Enrolment Form: