Student Information

Full Names:
Surname:
Date of Birth:
Age:
Residential Address:
Suburb:
Postal Code:
Contact Person Name:
Home Number:
Cell Number:
Medical/Physical problems/Previous Operations:

Person Responsible for Account

Names:
Surname:
Relationship to Student (Parent/Legal guardian):
Email Address for Correspondence:
Postal Address:
Postal Code:
Cell Number:
Home Number:
Work Number:
How do you want to be contacted:
EmailSMS

Emergency Contact

Name of a person not residing with you:
Relationship to Student:
Phone Number:
Address:
Suburb:
City:

Dance Styles

BalletAcrobaticsModernHip-HopTap

Payments

Payments Done:
MonthlyQuarterlyAnnually
Registration Fee:
Class Fees / 10 Months full
Second dance style 70%:
Class Fees / Quarterly x4:

 

Banking Details
  • Juanita Pretorius
  • FNB Cheque Account 62267891945
  • Branch Code 270724 (Memel)
  • R120 administration fee is payable upon registration. Proof of payment can be emailed to info@strawberrydance.co.za.
  • Quarterly fees need to be paid by the 2nd week of the new term and monthly fees must be paid by the 1st day of the month.
  • One month’s written notice to terminate lessons is applicable or fees will be charged up to date of which payment or notification is received.