Dancer Details

Parent/Guardian Details (Main Contact)

Emergency Contact

Health Care Details

Ambulance Cover? Please Select:
Can paracetamol be given without a phone call? Please Select:

Medical History

Medications (Name and Dosage):


Any other Medical/behavioural/social comments? Please provide details:


In the event of illness or accident, where I cannot be contacted, I authorise staff of Dance Union Studios to refer myself/my child to a doctor or hospital. I understand Dance Union Studios will not be held responsible for medical transport or other medical costs:

Please Select:

How did you hear about Dance Union Studios?


Your privacy is important to us - Please note that all information in this document is kept confidential and only accessible by the Dance Union Studios staff.

Terms and Conditions

I understand that Dance Union Studios produces promotional material about the program. I hereby grant Dance Union Studios the right to photograph and/or videotape my child/myself as part of the advertising and promotion of the program.


I understand that all missed lessons must be paid for regardless of attendance.


I understand that 2 weeks’ notice must be given if I/my child is not returning to Dance Union Studios.


I understand that by signing up for enrolment I am entering into a contract and I am committing to full payment of my invoice. If I/my child wishes to discontinue classes at Dance Union Studios, I understand I will still be required to pay the full amount of my invoice.


I understand that Term fees must be paid before or by the due date of the invoice, unless a payment plan has been arranged, and if I fail to pay by the due date I will incur a late fee for administration.


I understand that negative comments directly or indirectly aimed at Dance Union Studios staff and athletes; another program or individual are not to be posted on any social media platform (Facebook, Instagram, Snapchat etc.)


I understand that there are NO REFUNDS under any circumstances on change of mind, term fees, competition fees, uniforms, costumes or music fees. 

Copyright © 2018 DANCE UNION STUDIOS 

All Rights Reserved.