Popup Classes - All That Jazz

Parent's Details

First Name*

Last Name*

Phone Number*

Alternate Phone Number

Email*

Alternate Email

Student's Details

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Student's Details*

First Name	Last Name	DOB (DD/MM/YYYY)	Background (if any)

Trial Date Request

The default trial date is the next available class within 7 days subject to availability. If you would like to request for a different date, please indicate below.

Trial Terms and Conditions

I understand that :

- I am booking a trial for the earliest available session.

- Requests for other trial dates upon submission are subject to availability (Re-scheduling of trials will only be allowed up to 2 times).

- There will be no refund should I cancel or fail to attend the initial or re-scheduled trials.

- This class is an active program and that there is always a risk of an accident. Parents, legal guardians of minor students, and adult students waive the right to any legal action for any injury sustained on school property resulting from normal class activity or any other activity conducted by the students before, during, or after class.

- All That Jazz Dance Academy does not carry medical insurance for its students. If an injury occurs it is understood that the participant’s own policy is their only source of reimbursement.

I accept the Terms and Conditions*

I accept the Terms and Conditions*

Signature*

Trial Fee

7%GST

Total amount (inc 7%GST)

$ 0.00

Payment*

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Credit Card*

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Visa

Card Number Expiration Date Security Code Cardholder Name

Junior Acro (Level 2)

Trial Registration Form

Trial Class Registration Form

Parent's Details

Student's Details

Trial Terms and Conditions