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Student Enrolment form
Student Registration Details
First Name
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Last Name
*
Date of Birth
*
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Age
*
Gender
*
Parent/ Guardian Details
First Name
*
Last Name
*
Home Phone Number
*
Mobile Phone Number
*
Street Address
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Suburb
*
Post Code
*
Emergency Contact Details (Primary Contact)
Primary Contact Name In Case of Emergency
*
Emergency Phone Number
*
You will be notified via email for all Invoices/ News updates /Rehearsals and Upcoming events
Email Address
*
Melbourne Dance Theatre Time Table (SELECT)
Ballet
Pre -Primary Ballet: Saturday 9.00am-9.45am
Primary Ballet: Monday 5.30pm-6.30pm
Level 1 Ballet: Monday 4.30pm -5.30pm
Level 2 Ballet: Thursday 5.30pm- 6.30pm
Level 3 Ballet: Thursday 4.30pm- 5.30pm
Level 4 Ballet: Monday 4.30pm- 5.45pm
Level 4 Pre Pointe/Pointe: Monday 5.45pm- 6.15pm
Level 4 Ballet: Thursday 6.30pm-7.30pm
Level 5 Ballet: Monday 7.30pm-8.30pm
Level 5 Pointe: Monday 8.30pm-9.00pm
Level 5 Ballet: Thursday 6.30pm-7.30pm
Senior Level 1 Ballet: Monday 7.30pm- 8.30pm
Senior Level 1 Pointe: Monday 8.30pm- 9.00pm
Senior Level 1 Ballet: Thursday 5.30pm- 6.30pm
Senior/Open Classical: Saturday 9.30am-11.00am
Senior/Advanced Character: Thursday 8.30pm-9.15pm
Inter/Sub -Snr Character: Thursday 7.30pm-8.15pm
Conditioning (PBT):Tuesday 6.15pm-7.15pm
Classical Repertoire: Monday 6.30pm-7.30pm
Contemporary/Lyrical
Inter/ Sub Snr Contemporary: Monday 6.30pm-7.30pm
Senior/Advanced Contemporary: Monday 5.30pm-6.30pm
Inter /Sub Senior Lyrical: Thursday 5.30pm-6.30pm
Senior Lyrical: Thursday 4.30pm-5.30pm
Advanced /Open Lyrical: Thursday 6.30pm-7.30pm
Jazz
Primary Jazz: Monday 4.30pm-5.30pm
Junior Jazz: Wednesday 5.15pm-6.15pm
Inter/Sub Senior Jazz: Wednesday 4.15pm-5.15pm
Senior Jazz: Wednesday 7.15pm-8.15pm
Advanced /Open Jazz: Wednesday 8.15pm-9.15pm
Inter/Sub Senior Commercial Jazz: Thursday 4.30pm- 5.30pm
Senior/Advanced Commercial Jazz: Thursday 7.30pm- 8.30pm
Progressions Jumps/Kicks/Turns: Tuesday 7.15pm-8.15pm
Tap
Sub-Inter/Intermediate Tap: Tuesday 5.15pm-6.15pm
Senior /Advanced Tap: Tuesday 4.15pm-5.15pm
Hip Hop
Junior Hip Hop: Tuesday 4.15pm-5.15pm
Inter/Sub Senior Hip Hop: Tuesday 6.15pm-7.15pm
Senior/Advanced Hip Hop: Tuesday 5.15pm-6.15pm
Kinder Dance
Kinder Dance 3-5 yo: Monday 4.00-pm-4.30pm
Kinder Dance 3-5 yo: Thursday 4.00pm-4.30pm
Kinder Dance 3-5 yo: Saturday 9.45am-10.15am
Acrobatics
Junior Acro: Tuesday 5.15pm-6.15pm
Intermediate Acro: Tuesday 4.15pm-5.15pm
Experienced Acro Inter/Sub Senior : Wednesday 5.15pm-6.15pm
Experienced Acro Senior /Adv : Wednesday 6.15pm-7.15pm
Musical Theatre
Junior Musical Theatre: Wednesday 4.15pm-5.15pm
Inter/Sub Senior Musical Theatre: Wednesday 6.15pm-7.15pm
Senior Musical Theatre: Wednesday 8.15pm-9.15pm
Advanced/Open Musical Theatre: Wednesday 7.15pm-8.15pm
Stage and Screen
Stage and Screen: Wednesday 5.15pm-6.15pm
Troupe
Inter Commercial Troupe: Saturday 10.30am-12.00pm
Advanced Commercial Troupe: Saturday 11.00am-1.00pm
Senior Commercial Troupe: Saturday 1.00pm -3.00pm
Production
Production Class: Saturday 3.00pm-4.00pm
VET/VCE Dance
Tutorial Unit 1&2: Monday 4.30pm-5.30pm
Tutorial Unit 3&4: Monday 4.30pm -5.30pm
Private Lessons :
Session 30 minutes
Session 60 minutes
Singing
Session 30 minutes
Session 60 minutes
Dance
Session 30 minutes
Session 60 minutes
Medical Details
: Is there any medical conditions affecting your child of which the studio should be aware of If yes; please provide details.
Medical Details :Please provide details of Family Medical Practice and Phone)
*
Dance Education Background
Please provide previous background information
Dance School
Please provide previous background information
Method
Please provide previous background information
Level Achieved
Please provide previous background information
Years Learning
Please provide previous background information
Classes Per Week
Please provide previous background information
MDT Marketing Authority
I , the Parent/ Guardian give permission for my child/children's photograph to be taken during classes/production performances for the purpose of use of images in any advertising which may include websites, prospectus, brochures, magazine, display and other marketing materials or displays at MDT discretion
Acceptance of MDT Marketing Authority
*
Yes
No
Acceptance of Terms and Conditions
Yes , I have read and understand the terms and conditions of the student enrolment held with Melbourne Dance Theatre
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