Bookings danceextensions@hotmail.com 0410 686 458
Dance Extensions Parties
Birthday Child’s Name....................................................................................
Date of Party ............................... Time of Party..............................
Age................ Date of Birth..............................................
Number of Children.............................
Bringing own food Y / N
Ordering tea party Y / N Additional sausage rolls Y / N
Parent’s name.............................................. Mobile.........................................
Email......................................................................................................................
A $50.00 non refundable deposit is required one week from booking, to secure your party.
Please return this page two weeks prior to your party.
You may like to add your party guests names.
1. 8.
2. 9.
3. 10.
4. 11.
5. 12.
6. 13.
7. 14.
Enrolment Form
Students Name ............................................................................
Age ...................... (From 1.1.15)
Date of Birth.....................
Dance Classes.........................................................................
................................................................................................
Mother’s Name / Guardian.............................................................. Mobile..........................................................
Father’s Name / Guardian................................................................ Mobile..........................................................
E-mail...............................................................................................
Home Number...................................................... Work......................................................................
Address......................................................................................................................
In the case of an emergency that may need medical attention, I give permission for the teacher to seek appropriate medical treatment.
Medical information I should know.......................................................................................................
Family doctor & number........................................................................................................................
Parent / Guardian Signature...................................................................................................................
How did you find out about the dance school? .....................................................................................
Email: danceextensions@hotmail.com Joanne – 0410 686 458
Bookings
If you'd like to make a party booking at Dance Extensions,
please send us an e-mail using the form below.
0410686458