Online ENROLment form

Student Full Name *

Student Date of Birth *

Parent Name *

Phone *

Email *

Address *

Street Address

City

State

Country

Postal Code

List Classes Student will Attend *

Private Lesson Expression of Interest

By checking this box, I give permission for photographs and videography of my child in dance class or performances to be used in promotional material for Adrenaline Academy of the Arts Pty Ltd in print, web and social media publications.

Enrolment and Direct Debit Terms and Conditions. By Clicking this box I acknowledge you are agreeing to the enrolment terms listed in the linked text.

Here is the link to our DIRECT DEBIT Sign up. Please note this will take you to an external page please come back to this page to finalise your enrolment. https://pay.gocardless.com/BRT0002RK465D6E

2026 Enrolment fee *

AU$ 45

Payment is required to finalise your 2026 Enrolment

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