2024 Enrolment Form – Dance Vibes NZ

Below is the Enrolment form for 2024 dance classes. As class numbers are limited, enrolments are not guaranteed. If you have not received an offer of place for dance classes or you wish to be put on the waiting list for a booked out class, then please fill out an Expression of Interest form or Contact Us for further information. Visit Dance Styles or Timetable for more information on available classes.

Student's Name *

First

Last

Parent/Guardian's Name *

First

Last

Student's Date of Birth *

Primary Contact Phone Number *

Secondary Contact Phone Number

Email *

Emergency Contact Name *

First

Last

Emergency Contact's Relationship To Student *

Emergency Contact Phone Number *

Student's School (if applicable) *

Which classes is your child enrolling in? (Day & Time) *

Medical Information or Learning Difficulties *

Does your child suffer from any medical conditions that may impact their time with Dance Vibes NZ? Examples are allergies, physical limitations, chronic health issues, ADHD etc. Please give details of any issues and an action plan if required.

Photos And Videos for Advertising and Social Media *

YES Photos
NO Photos
YES Videos
NO Videos

Dance Vibes NZ regularly takes photos and videos of students in class and performances to use for advertising on our website and public social media posts. This includes professional photos. If you decline consent for photos and/or videos, they may still be taken but the child’s face blurred or cropped. If consent is not given, photos and videos may also still be used in the Student Hub, on our private Facebook groups and video sharing apps for rehearsal purposes as these are only viewed by students in the class and their parents. We respect your right to privacy so please contact us if you have any issues.

Additional Comments/Questions

I have read and agree to Dance Vibes NZ's Terms & Conditions *

By ticking YES you are agreeing to the Dance Vibes NZ Terms & Conditions as follows:

1.) Fees: All dance class fees will be paid in full on or before the third lesson of each term unless a prior arrangement has been made with Dance Vibes NZ. Any late payment will incur a 20% late fee on the total cost of term fees. Failure to pay term fees may result in the student being excluded from class.

2.) Refunds: There will be no refunds on term fees once paid.

3.) Behaviour: All students, family and visitors to Dance Vibes NZ classes and events must conduct themselves in an appropriate and respectful manner at all times when in or around venues. This includes no swearing, yelling, bullying, making mess, theft, damage of property or displaying other inappropriate behaviour. Failure to comply will result in the student being removed from class or event either temporarily or permanently. In the case of visitors breaching the behaviour agreement, they will incur total exclusion from any future classes and events. Any damage or theft of venue property or personal property by a student, family member or visitor will require the student’s parent or guardian to pay for repair or replacement of said property.

4.) Attire: students will wear appropriate attire at all times as outlined in the dress code.

5.) Disclaimer: Dance Vibes NZ take every effort to provide a safe environment for students and visitors. The health, safety and wellbeing of our students is top priority. I acknowledge that Dance Vibes NZ and its teacher Sherri Philpot and any other staff are in no way liable or responsible for any injuries, accidents, loss or damage of any personal property that may occur to students, family members or visitors while on the premises of any Dance Vibes NZ class or event. It is the parent/guardian’s responsibility to ensure their child is dropped off and picked up from class at the correct time and to ensure their safety when outside the immediate vicinity of the Dance Vibes NZ class or event.

6.) Choreography: All choreography taught for classes and events is purely the property of Dance Vibes NZ teacher and choreographer Sherri Philpot. Choreography and video is not to be used, shared or taught to anyone outside of Dance Vibes NZ classes or events without permission.

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