Enrolment - Charlesworth Ballet School

Parent or Guardian Details

First Name *

Last Name *

Email Address *

Confirm Email *

Password

Confirm Password

Additional Email Address

Address *

Suburb *

State *

Postcode

Mobile *

Student Details

*

1

ID

First Name *

Last Name *

D.O.B *

Current School Attending

School name

Grade

Current Allergies or Health Issues

Has your child previously had any Ballet training? *

Yes
No

If your child is 7 years old or above, please call the Office prior to enrolling

Please detail your child’s previous Ballet/Dance experience

Health & Medical

Please provide information on any health or medical conditions your child may have

Please attach the current Action Plan or other relevant documents relating to your child’s condition

File name:

File size:

If you are not available, do you consent to a qualified CBS staff member providing CPR to your child in case of an emergency?

Yes
No

If no, do you consent to CBS staff calling for an ambulance?

Yes
No

Add Student

Do you consent to having your child’s photograph taken and used for advertising and social media purposes? *

Yes
No

How did you hear about us?

By submitting this form I agree and understand that all fees paid to Charlesworth Ballet school are non-refundable, and no credits will be given for missed classes or change of mind. *

I Agree to the enrolment policy

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