TRIAL FORM WSDA

We are so excited to have your child trial our classes at

The Wil Sabin Dance Academy.

Please kindly fill out the info below before attending your first class.

WIL SABIN DANCE ACADEMY

224 Central Coast Highway

( Enter Via Penrose Cres )

Erina 2250

enquire@wilsabindanceacademy.com

Child First Name

Child Last Name

Childs Date Of Birth

Primary Parent / Caregiver Name

Emergency Contact Name

Phone Number

Emergency Contact Number

Classes Trialling

How did you hear about us?

HEALTH INFORMATION & MEDICAL RELEASE

Does your child have any medical conditions / allergies ?

The parent/guardian of

acknowledge that participation in dance is potentially dangerous and there is an inherent risk of injury involved. In allowing my child to participate in WIL SABIN DANCE ACADEMY activities, I hereby assume all the risks associated with the performing arts. I understand the importance of myself and my child following the instructions and rules set by their instructor(s), and I agree to release and it’s employees of any and all liability which may arise as a result of my child’s participation in activities at WIL SABIN DANCE ACADEMY.

Please sign

I agree for my child to be filmed during thier trial

We will be in touch ASAP to confirm your trial class and we look forward to seeing you at the studio!

TRIAL FORM WSDA

HEALTH INFORMATION & MEDICAL RELEASE

CONTACT DETAILS

CONTACT US

WRITE TO US IF YOU HAVE ANY QUESTIONS OR CLICK
IN THE ENQUIRE TAB TO MAKE AN ENQUIRY

ENQUIRE@WILSABINDANCEACADEMY.COM