2017 Dance ParentsPlease fill out the form below then press submit only once. Open Form Dance Parents Enrolment Form Name * First Name Last Name Select a class * Prices are per term PYT Dance Parents Weds 6.30 to 7.30pm $149 I will be accompanied by a beautifully behaved child with some homework to finish while I have fun Mobile Emergency number - if different from above Amount Paid / To Be Deducted * Classes always commence Week 2 of the School Term. $ Payment Method * Please note new account details below Internet Transfer Direct Deposit into: Bank of Queensland BSB 124001 A/c No. 22240389 Platinum Entertainment (WA) Pty Ltd Visa/Mastercard (No Surcharge) Bartercard/BBX Cash Card Details Enter Credit or Bartercard/BBX number - Expiry Date - Name on card Notes Any questions? Medical conditions or anything else we need to know Permission to use photographs * Please tick the box below to allow us to use photographs for publicity purposes only Yes, I agree Terms and Conditions * Tick to agree to our T's & C's Submit details Thank you! Your enrolment has been received
