Enrol | Believe Dance & Acro

Child's Full Name *

Child's Date of Birth *

Your First Name *

Your Last Name *

Email address *

Phone Number *

What class are your enrolling in *

MONDAY 4:00pm-5:00pm (Ages 5-8) - Dominion Road
MONDAY 5:00pm-6:00pm (Ages 9-11) - Dominion Road
SATURDAY 8:30am-9:20am (Ages 3-4) - Dominion Road
SATURDAY 9:30am-10:30am (Ages 5-8) - Dominion Road
SATURDAY 11:30am-12:30am (Ages 5-8) - Ellerslie
SATURDAY 12:30-1:30pm (Age 9-11) - Ellerslie

Does your child have any allergies, medical conditions, disabilities or specific needs?

Emergency Contact Full name *

Emergency Contact Phone Number *

Please read our terms and conditions before your submit your enrollment *

I agree to the Believe Dance & Acro terms and conditions

Do you give permission for photographs and/or video recordings of your child to be taken and used for promotional, marketing, and social media purposes? *

Yes, I consent to my child being photographed and/or filmed and for these images/videos to be used for promotional purposes.
No, I do not consent.