Contact Us

North Lakes
Business Park

info@fivestardance.com.au

07 3481-2408
0422-592-124

Home
About
Our Team
Classes
Enrolment
Contact Us
Our Studio
Gallery

Home
About
Our Team
Classes
Enrolment
Contact Us
Our Studio
Gallery

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CONTACT

Five Star Dance Academy

North Lakes Business Park, Cnr of Burke & Wills Streets, North Lakes QLD 4509

For general enquiries, use this form or give us a call.
For enrolments, use one of the forms below.

07 3481-2408
0422-592-124

Name

Message

Enrolment

Fill in the form below to make an enrolment. Alternatively, you can download the form here, fill it in, photograph it and send to info@fivestardance.com.au

Students Name

DOB

Age as of 01/01/19

School Grade

Parents Name

Address

Home Phone

Mobile

Medical Information/ Allergies

Emergency Contacts

Previous Dance Education

If capable I would like my child to participate in exams and the performance group (Y/N)

I agreeto photographs and digital images of my child being taken and possibly appearing in printed publications and/or on the academy website. I understand that the images used are only for educational and advertising purposes, and that the identity of my child will be protected (Y/N)

Disclaimer: Participation in any Five Star Dance Academy activity and use of any recreational facilities involves a risk of accidental injury despite all safety precautions. Having been informed of the activities conducted by Five Star Dance Academy, I/we, as an individual or as a parent or guardian of the participants named herein, assume all risks and hazards incidental to the activities, and release from responsibility and agreed to indemnify and hold harmless Five Star Dance Academy, its officers, directors, independent contractors, volunteers and all employees for any illness or injury to me or my children or family members occurring during his/her/our participation in any activity or use of any recreational facility at or conducted by Five Star Dance Academy.

Todays Date

How did you hear about us?

Please tick which class your child wishes to be enrolled in:

Petite Star A Petite Star B Tiny Tumblers Imagine Program

Test 1 – Advanced Lesson Style Selection

Ballet Jazz Tap Contemporary Stretch & Strengthen Hip Hop Musical Theatre Boys Zone Ballroom Acrobatics Lifting Jumps, Kicks & Turns Ballet Boot Camp Ballet Extension Program 10 & under Performance Teams (10 yrs & under on 01/01/20) 12 & under Performance Teams (12 yrs & under on 01/01/20) 15 & Open under Performance Teams (15 yrs under & over on 01/01/20)

Package Choices