Dance Classes in Mandurah, Wicked Dance Works

Name of Student*
D.O.B of Student
Name of Parent*
Contact Number*
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Emergency Contact No - Must be different from normal contact No*
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E-mail:*
Address:*
Has the enrolling student attended Wicked classes before? *
Please tick which dance class/es you would like to enrol in to
Please give details of students experience in the classes ticked*
Medical Details we should be aware of*
How did you hear about us?*
If other please state where. If a friend referred you please state who it was.
To keep up to date with all things happening at Wicked Dance Works we need to know your preferred method of communication. *
As a member of Wicked Dance Works I agree that I will not park in spaces marked for Party Plus and Ocky's at ANY time. I understand that I will get WDW in to trouble with the City of Mandurah if I was to do so even for a few mins. I will also be liable to pay any fines that are received as a result of parking in any of the above spaces. *
I am aware that I can park in any spaces marked Wicked Dance Works and at the school next door. Any other spaces are ok to park in after 5.30pm or when the business is closed.*
I understand that for Junior classes and upwards WDW operates a drop off and pick up policy. If you must wait for your child, please do so in the adjacent school car park so we can free up spaces for parents dropping off and picking up. I understand that I cannot wait in the foyer for my child to finish. *
I understand that WDW fee's are due in full or must sign up to a payment plan no later than the 2nd week of term. if this is not done I am aware that my account will be passed to a debt collector. *
Photo's and/or video's of your child maybe published to showcase or promote our dance studio. By clicking I agree you are giving Wicked Dance Works permission to publish photographs and video's of your child. If you have any concerns please see our staff at the reception desk, *