CONTACT US

Student Registration Form

Please complete the below form to submit a new student trial, enrolment or re-enrol for classes at Derralie Coonan's DanceMajic Studio in 2025.

Student Details

Please provide us with up to date information about the student to be enrolled.

Student First Name *

Student Last Name *

Sex *

Student Date of Birth *

Street Address *

City

State

Country

Postal code

Please select your enrolment option below: *

Class Trial Date

Parent & Emergency Contact Details

When including parent details, Parent 1 will be listed as the primary point of contact for the enrolled student. Only details for the primary parent must be provided, however we recommend having both listed (where possible). In the event that Parent 1 cannot be contacted, then an attempt to reach Parent 2 will be made. Where a second parent is not listed, in the event of an emergency if the designated parent cannot be contacted, the Emergency Contact will be called.

Parent 1 First Name *

Parent 1 Last Name *

Parent 1 Email *

[email protected]

Parent 1 Contact Number (Mobile Preferred) *

Please enter valid mobile number (04XXXXXXXX)

Parent 2 First Name *

Parent 2 Last Name *

Parent 2 Contact Number (Mobile Preferred) *

Please enter valid mobile number (04XXXXXXXX)

Parent 2 Email Address *

[email protected]

Emergency Contact First Name (must be someone other than Parents) *

Emergency Contact Last Name (must be someone other than Parents) *

Emergency Contact Number (Mobile Preferred) *

Please enter valid mobile number (04XXXXXXXX)

Relationship to enrolled student *

e.g. Grandmother, Family Friend, Neighbour

Student Medical History & Consent

This section includes questions relating to the enrolled students history of medical or other conditions that DanceMajic need to be aware of. In addition this section asks for student or parental/guardian consent as per current government health policies, DanceMajic staff are legally unable to administer first aid without prior given consent.

Does the enrolled student have any known conditions (medical or otherwise) that DanceMajic need to be aware of?

Yes

No

In the unlikely event of an accident, do you consent to a member of DanceMajic providing first aid?

Yes

No

If required, you do consent to DanceMajic staff calling an ambulance for yourself or your child (on your behalf)

Yes

No

Terms and Conditions of Enrolment

I understand and agree to the terms and conditions as set by DanceMajic. I take full responsibility to ensure that all fees are paid on time and that relevant student medical conditions have been disclosed to DanceMajic.

Signature *

Clear

I have read and agree to terms & conditions.

OUR LOCATION

31 Waratah St, Thomastown, VIC 3074, Australia

BOOK A FREE TRIAL CLASS!

Want to try a free class first?
Fill out the free trial class form below and our team will reach out to you !

Parent Full Name *

Parent Phone *

Parent Email *

Child's First Name *

Child's Last Name *

Child's date of birth *

Class Interested in Trialling *

Captcha

I agree to the terms & conditions and privacy policy provided by Dancemajic. By providing my phone number, I agree to receive text messages from Dancemajic. Reply STOP to unsubscribe at any time.

Testimonials

Contact Us

ADDRESS

31 a Waratah St , Thomastown Victoria/Australia 3074

Mon – Wed : 8:00am – 06:00pm

Thu – Sat : 10:00am – 8:00pm

Sunday : Closed

31A Waratah St, Thomastown VIC 3074, Australia

About

Dancemajic is a children's dance studio located in Thomastown with an award-winning team dedicated to providing the best dance instruction whilst also empowering tomorrow's leaders.

Opening Hours

Mon – Wed : 8:00am – 06:00pm

Thu – Sat : 10:00am – 10:00pm

Sunday : Closed

PARENT PORTAL

ADDRESS: 31 a Waratah St , Thomastown Victoria/Australia 3074

Email: [email protected]

Telephone: 0409 196 139