New Farm Enquiry - Davidia Lind Dance Centre

Parent or Guardian's full name*

If the student is 18 or over please fill both name sections with your own name.

First Last

Email*

Enter Email Confirm Email

Phone*

Students name*

First Last

Students Date of Birth*

Afternoon classes

Tuesday

What class would you like to register your child for?

You can select more than one option

3:30 - 4:15 pm LEARN TO DANCE 3-5 years
3:30 - 4:15 pm BALLET 6-8 years
4:15 - 5:00 pm JAZZ/HIP HOP 6-8 years
4:15 - 5:00 pm BALLET 9-12 years
5:00 - 5:45 pm JAZZ/HIP HOP 9-12 years

Do you want to add another student?

Yes

* Select if adding an additional student

Additional students name

First Last

Additional students Date of Birth

Afternoon classes - Additional student

Tuesday

What class would you like to register your child for? - Additional student

You can select more than one option

3:30 - 4:15 pm LEARN TO DANCE 3-5 years
3:30 - 4:15 pm BALLET 6-8 years
4:15 - 5:00 pm JAZZ/HIP HOP 6-8 years
4:15 - 5:00 pm BALLET 9-12 years
5:00 - 5:45 pm JAZZ/HIP HOP 9-12 years

How did you hear about DLDC?*

Agreement*

I agree to the DLDC terms and conditions.

Please carefully read the terms and conditions before checking the box. By checking this box you are stating you are 18 years of age (either the student, parent or legal guardian of the student enrolling) and you agree that you fully understand all terms and conditions listed.

Name

This field is for validation purposes and should be left unchanged.