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 80%:

    Class Fees / Quarterly x4:

    Banking Details
    • Juanita Pretorius
    • FNB Cheque Account 63045214838
    • Branch Code 270724 (Memel)
    • R250 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.