Student Enrolment Form

Student Name *

Student Name

First Name

Last Name

Student Age *

Student Date of Birth *

DD/MM/YY

Desired Class(es) - JAZZ / OTHER

Please select any jazz / other classes you would like to enrol for.

Mini Jazz (Wed)

Petite Jazz (Wed)

Acro Dance Primary/Level 1 (Thurs)

Acro Dance Level 2/3 (Wed)

Open Junior Contemporary (Wed)

Desired Class(es) - LYRICAL

Please select any lyrical classes you would like to enrol for.

Primary Lyrical (7+ Years) (Mon)

Grade 1 Lyrical (8-9+ Years) (Mon)

Grade 2 Lyrical (10+ Years) (Tues)

Grade 4 Lyrical (11+ Years) (Mon)

Parent / Guardian Name

First Name

Last Name

Contact Phone Number *

Email Address *

Medical Conditions

Comments / Questions / Other

How did you hear about us?

Coupon Code (if applicable)

Disclaimer:

By using this site you agree to the following. We will never disclose any personal information collected to any third parties or persons not part of the dVSD staff unless required by law. All information collected is used solely for enrolment and communication purposes.

You have the right to ask for a copy of any personal information we hold about you, and to ask for it to be corrected if you think it is wrong. If you’d like to ask for a copy of your information, or to have it corrected, please contact us at charlotte.devere@gmail.com.

Upon enrolling at dVSD you will be sent a Studio Handbook with a copy of our studio policies - please inquire for more information if needed.