Profile photo

Parent's First Name

Parent's Last Name

Child's First Name

Child's Last Name

Child's DOB

Sibling/s & DOB (optional)

Instructor's First Name

Instructor's Last Name

Instructor's DOB

Email (Alternative)

Mobile

Home Phone

Special talent/Note

Media Release Consent
YES, I give my permission for my child/ren to be included in ANY DanceAlong marketing and promotions.YES, I give my permission for my child/ren to be included in CHILDCARE CENTRE marketing and promotions only.YES, I give my permission for my child/ren to be included in DanceAlong marketing and promotions EXCEPT ONLINE.NO, I do not give my permission for my child/ren to be included in ANY marketing and promotions.

Qualifications

Achievements

Business Name

Australian Business Number

Blue Card Number

Blue Card Expiry Date

Subscribe to Newsletter

Your Child's Photo

DanceAlong Instructor
Test GroupAli DanceAlongAnita DanceAlongCarien DanceAlongChantelle DanceAlongElla DanceAlongGabi DanceALongJazmin DanceAlongJenny DanceAlongJulie DanceAlongKatherine DanceAlongKerry DanceAlongKirsty DanceAlongLisa DanceAlongRhianna DanceAlongSharna DanceAlongShelley DanceAlongTara DanceAlong

Subscribe to our newsletter