Parent Full Name *

Parent Email *

Parent Phone *

Student First Name *

Student Last Name *

Student Date of birth *

Does your child attend South Coogee Public School and require School Pick up?

Class(es) for enrolment *

Monday - 3:40pm-4:20pm - K-Yr 2 JAZZ

Monday - 4:20-5:00pm - ACROBATICS

Tuesday - 3:40pm-4:20pm - K-Yr 2 HIP HOP

Tuesday - 4:20pm-5:00pm - K-Yr 3 Circus

Tuesday - 5:00pm-5:40pm - Yr 3 & Over Circus

I agree to the terms and conditions of enrolment at Malabar Dance Crew