CEP ACCEPTANCE | Independent Dance

2025 IDS Classical Extension Programs Acceptance Form

Applicant's First Name

Applicant's Surname

D.O.B

Day

Month

Year

SELECT AN EXTENSION PROGRAM

Classical Extension Class

Classical Transition Program

Half Day Classical Extension Program Level 1

Half Day Classical Extension Program Level 2

HALF DAY CLASSICAL EXTENSION PROGRAM EXTRA CLASSES

Lyrical

Acrobatics

Junior Assistant Volunteer (JAV)

PARENT/GUARDIAN INFORMATION:

Primary Parent/Guardian (full name)

Email Address (for all invoicing)

Best Contact Phone Number

Emergency Contact (name and phone number)

Address

House No, St Name, City, State, Postal / Zip Code, Country

ACEPTANCE Ts&Cs. Please note your application will not be complete until your deposit is received as follows:

CEC $50.00

CTP $100.00

CEP $500.00

All deposit payments are deducted from your term one program invoice and secure your place in your selected program for the full year.

PAYMENT DETAILS

ACC: Independent Dance Studios

BSB: 013 479

ACC: 151310014

REFERENCE: Your child's surname

Parent/Guardian please sign here to agree to the above

Signature field is empty.