Enrolment Form

Thank you for your interest in joining Melany's Ballet and Pilates. You may use the form below to enrol your child.

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Child's Details

Child's Name

Surname

Date of Birth

Age

Name of School

Class

Parent's Details

Parent's Name

Surname

Email Address

ID Number

Work/Home Contact

Mobile Contact

Home Address

Known Alergies of the child

I Agree to Accident waiver and release of liability