Thomas Road Clinic - Now Open
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2025 Enrolment Form
Students Name
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Students Date of Birth
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Students Age
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Parent/Caregivers Name
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Email
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Phone Number
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Address
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Ballet class enrolling in
Select
Preschool Ballet/Jazz Friday
Preschool Ballet/Jazz Saturday 9.00
Preschool Ballet/Jazz Saturday 9.30
Test 1 Ballet/Jazz
Test 2 Ballet
Test 3 Ballet
Bronze Medal Ballet
Bronze Star Ballet
Silver Medal Ballet
Gold Medal Ballet
Advanced Ballet
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Jazz class enrolling in
Select
Test 2 Jazz
Test 3 Jazz
Bronze Medal Jazz
Bronze Star Jazz
Silver Medal Jazz
Gold Medal Jazz
Advance Jazz
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Tap class enrolling in
Select
Beginner Tap
Bronze Star Tap
Gold Medal Tap
Open Advance Tap
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Acrobatic dance class enrolling in
Select
Beginner Acro (age 4-6)
Level 2 and 3 Acro
Level 4 Acro
Advance Acro
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Contemporary class enrolling in
Select
Junior/Inter
Advance
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Pointe class
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Technique class
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Any medical we need to be aware of
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I agree to let Dance Pointe use photos and videos taken in classes and of performances of the above student for promotional purposes including on their website and social media.
Select
Yes
No
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I understand I am enrolling my child into active dance and/or acrobatic dance classes. Whilst safety is a priority I understand that injury may occur when learning dance.
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Address
Send
Message Sent.
Get in Touch!
rebecca@dppa.co.nz
021 0222 4245
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