03 5174 4944

109 Argyle St, Traralgon

Resources

2022 Enrolment Form

In the event of non payment of your fees, your membership will be terminated and your child’s place given away. Please see the Director to discuss options if you are having financial difficulties.

Apply online

  • Dancer One

  • Dancer Details

  • DD slash MM slash YYYY

  • Class Selection

    Please provide class name, day and time


  • Medical History

    Please provide dances medical details below

  • Do you have any allergies?
  • Do you have a current Medical Condition?
  • Do you have any current or previous injuries?
  • Have you ever experienced a Fracture/Dislocation?
  • Have you ever experienced a Head/Neck/Spinal injury?
  • Do you experience recurring Joint Pain with movement?
  • Do you wear Glasses/Contact Lenses?
  • Do you, or have you ever had, any of the following conditions?

  • Additional Details

    If you selected yes for any of the above please provide any necessary details below



  • Dancer Two

  • Dancer Details

  • DD slash MM slash YYYY

  • Class Selection

    Please provide class name, day and time


  • Medical History

    Please provide dances medical details below

  • Do you have any allergies?
  • Do you have a current Medical Condition?
  • Do you have any current or previous injuries?
  • Have you ever experienced a Fracture/Dislocation?
  • Have you ever experienced a Head/Neck/Spinal injury?
  • Do you experience recurring Joint Pain with movement?
  • Do you wear Glasses/Contact Lenses?
  • Do you, or have you ever had, any of the following conditions?

  • Additional Details

    If you selected yes for any of the above please provide any necessary details below



  • Dancer Three

  • Dancer Details

  • DD slash MM slash YYYY

  • Class Selection

    Please provide class name, day and time


  • Medical History

    Please provide dances medical details below

  • Do you have any allergies?
  • Do you have a current Medical Condition?
  • Do you have any current or previous injuries?
  • Have you ever experienced a Fracture/Dislocation?
  • Have you ever experienced a Head/Neck/Spinal injury?
  • Do you experience recurring Joint Pain with movement?
  • Do you wear Glasses/Contact Lenses?
  • Do you, or have you ever had, any of the following conditions?

  • Additional Details

    If you selected yes for any of the above please provide any necessary details below



  • Primary Contact



  • Secondary Contact



  • Information and General Terms & Conditions

  • 1. In the event of non payment of your fees, your membership will be terminated and your child's place given away. Please see the Director to discuss options if you are having financial difficulties.

    2. In the event of any injury or illness to my child, I authorise the supervisors to apply or arrange first aid. I will pay all medical expenses incurred on behalf of my child.

    3. I agree to release Danceworks 114 from any liability to my child or myself in relation to any injury or illness that my child may suffer, and for loss or damage to property, in connection with the activities, except to the extent that the liability arises as a result of the negligence of Danceworks114.

    4. I understand that once fees have been paid they cannot be refunded.

    6. I understand that Danceworks 114 is not a childcare service and is not responsible once the child has left/ finished their classes and/or the premises.

    8. I understand that any customer or dancer over the age of 12 must check in via the QR code and show proof of vaccination upon entry to our facilities and wear a mask where applicable/ when required as per the Victorian Government mandate.


  • 7. I understand that the teachers may wish to record images of the class, including images of children participating in activities. These images may be used in publications, events, promotional broadcasts, and websites in any form of media. This will also allow parents to have a visual image of their children’s progress.