Harbour Performing Arts Centre

Student Details

First Name

Last Name

Date of Birth

Daytime School

Previous Dance Experience

Doctor

Doctor Phone No.

Medical Information

Parent / Carer Details

First Name

Last Name

Home Phone

Work Phone

Street Address

City

State

Post Code

Class Selection

Location *Coffs HarbourNambucca HeadsValla Beach

Nambucca Heads ClassesReady Set BalletBalletJazzHip HopPlease select the genres you wish to enrol in. We will contact you with the best options for your child’s age.

Valla ClassesReady Set DanceJazzContemporaryPlease select the genres you wish to enrol in. We will contact you with the best options for your child’s age.

Registration Fee

Registration fee will not exceed $120 per family

Age GroupJunior (2-11 years)Senior (12+ years)

Enrolment Fee

Parent / Carer Consent

ConsentI / we give permission to take my child to the nearest hospital or doctor for medical attention if the need arises.I / we give permission to use concert or general school photos on the school website at http://www.hpac.net.auI / we agree to my child being enrolled at HPAC and understand that my child will be dancing at his/her own riskI / we understand and agree that HPAC does not accept any liability for loss, damage or injury.I / we will email or provide written notice to HPAC accounts when a class which has been invoiced will no longer be attended.I / we acknowledge that the class or family discount will be deleted from the Term invoice if not paid by the due date.

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Enrol

Enrol now for Term 1 2025

Enrolment Form