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Welcome to the Ringwood Ballet Group!

Thank you for your enquiry. Please complete this form to commence your enrolment process at Ringwood Ballet.

Once received we will be in contact with you to complete registration, which includes class selection and medical information.

For any further questions please contact us at

office@ringwoodballet.org.au

Studio: 9870 6549 Mobile 0436 007 771

Thank you

Committee

Ringwood Ballet Group

Student First Name *

Student - Surname *

Date Of Birth *

Academic School and Current Year Level *

Prior Training if applicable: Previous Schools

State the most recent exams taken if any and the result

Parent 1 First Name *

Parent 1 Surname *

Mobile Number *

Other Phone

Street Address *

Suburb *

Postcode *

Parent 2 First Name

Parent 2 Surname

Parent 2 Mobile

Email address for all correspondence *

Billing email address if different

Emergency Contacts: Please add names and contact numbers in case we cannot reach a parent in an emergency

Contact 1:Name *

Contact 1 Number *

Contact 2 Name

Contact 2 Number

Please list the classes that you are interested in doing

How did you hear about Ringwood Ballet Group? *

Participant Acceptance *

Yes, I agree that the above information is correct and I agree to be sent further information from Ringwood Ballet Group.

Name

Submission Public, please sign Show me how