Anita's Dance Academy
Enrolment Form
Anita's Dance Academy
Student's File 2011
Term 1 2 3 4
First Name: __________________________________________
Surname: _____________________________________________
Date of Birth: __ __ __ __ __ __ __ __
Day Month Year
Name & Occupation of Father/Guardian: _______________________________________________
_
Name & Occupation of Mother/Guardian: _______________________________________________
Term 1 2 3 4
First Name: __________________________________________
Surname: _____________________________________________
Date of Birth: __ __ __ __ __ __ __ __
Day Month Year
Name & Occupation of Father/Guardian: _______________________________________________
_
Name & Occupation of Mother/Guardian: _______________________________________________
Home Address:____________________________________
____________________________________________________
E -
Phone Number: ______________ ______________ ___________
Home Mobile Work
Name of the Preschool or School enrolled in 2011
_____________________________________________________________________________
Syllabus studied:_________________________________________
Dance Standard Attained: __________________________________
No of years studying dance:_________________________________
Latest exam results:_______________________________________
Does the student have any medical condition or disability?
_____________________________________________________________________________
Ballet ____
Jazz ____
Tap ____
Musical Theatre ____ Signature
Contemporary ____ ________________________
Social Dancing ____
Hip Hop ____ Date
Adult Classes ____
ZUMBA ____
Name of the Preschool or School enrolled in 2011
_____________________________________________________________________________
Syllabus studied:_________________________________________
Dance Standard Attained: __________________________________
No of years studying dance:_________________________________
Latest exam results:_______________________________________
Does the student have any medical condition or disability?
_____________________________________________________________________________
Ballet ____
Jazz ____
Tap ____
Musical Theatre ____ Signature
Contemporary ____ ________________________
Social Dancing ____
Hip Hop ____ Date
Adult Classes ____
ZUMBA ____