ELEVATE 2023
INTRODUCTORY WEEK
IMPORTANT: PLEASE FILL OUT ALL SECTIONS OF THIS FORM BEFORE SUBMITTING IT.
Step 1: Parent Information
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Parent First Name
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Parent Surname
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Email
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SMS Number
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Secondary Carer /
Emergency contact's
First Name
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Secondary Carer Surname
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Secondary Carer Phone
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Select...
Current Student
Google Search
Referral or Word of mouth
Facebook
Instagram
Subscribed to Emails
Walked or drove past BDC
Direct Mail
School Newsletter
Blog post
Live or online Event
Billboard, TV or Radio
How did you hear about BDC?
Step 2: Student Information
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Student First Name
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Student Last Name
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Select...
he
she
they
Prefix
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Date of Birth
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Age at 1st Feb 2023
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Medical Needs/Allergies
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Select...
3XL Adult/18
XXL Adult/16
XL Adult/14
L Adult/12
M Adult/10
S Adult/8
XS Adult/16
XL Child/14
L Child/ 12
M Child/10
I Child/8
S Child/6
XS Child/4
XXS Child/2
Uniform/Tshirt Size
Step 3: Postal Address
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Address:
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Suburb:
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Select...
(AU) New South Wales
State
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Postcode
Step 4: Please select the classes you wish to trial in your Introductory week.
MONDAYS
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2023 Mondays Evolve/Elevate Acro 6.30pm
Quantity
TUESDAYS
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2023 Tuesday Elevate Ballet 4.30pm
Quantity
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2023 Tuesday Elevate Hip Hop 5.30pm
Quantity
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2023 Tuesday Elevate Rise Program (Contemporary/Lyrical) 5.30pm-7.30pm
Quantity
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2023 Tuesday Elevate Rise Extension 7.30pm
Quantity
WEDNESDAYS
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2023 Wednesday Elevate Tap 4.30pm
Quantity
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2023 Wednesday Elevate Hip Hop 5.30pm
Quantity
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2023 Wednesdays Elevate Amplify Program (Jazz/MT) 5.30pm-7.30pm
Quantity
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2023 Wednesday Elevate Amplify Extension (Jazz/MT) 7.30pm
Quantity
THURSDAYS
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2023 Thursday Evolve/Elevate Hip Hop Crew 4.30pm
Quantity
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2023 Thursday Elevate Ballet (Grade 4) 5.30pm
Quantity
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2023 Thursday Evolve/Elevate Locking & KRUMP 5.30pm
Quantity
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2023 Thursday Elevate Ballet (Grade 6) 6.30pm
Quantity
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2023 Thursday Elevate Hip Hop 7.30pm
Quantity
FRIDAYS
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2023 Friday Evolve/Elevate Popping 5pm
Quantity
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2023 Friday Evolve/Elevate Hip Hop 6pm
Quantity
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2023 Friday Evolve/Elevate Breaking 7pm
Quantity
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2023 Friday Evolve/Elevate House 7pm
Quantity
SATURDAYS
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2023 Saturday Elevate Hip Hop 10am
Quantity
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2023 Saturday Elevate Popping & Freestyle 11am
Quantity
Step 5: Payment
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Name On Card:
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Card Number
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1
2
3
4
5
6
7
8
9
10
11
12
Expiration Month
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2018
Expiration Year
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CVC
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Submit
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