Thank you for choosing to enrol in North Sydney Physie & Dance. Please complete the following form to enrol for 2023 classes. Enrolment 2023 Student First Name* Student's Preferred Name (optional) Eg. Jessica > "Jess"Student Last Name* Date of Birth* DD slash MM slash YYYY Student age (as at 31 August 2023)*Physie age is determined by the student’s age as at 31st August 2023. For example, if your child turns 7 on 31st August, they will be in the 7-8 years class. If your child turns 7 on 1st September, they will be in the 5-6 years class. Number of years with NSP*Please enter the number of years the student has been with NSP. E.g., if the student began in 2022, this will be Year 2 with NSP. If this is the student's first year, please enter 1.Contact InformationEmail* Additional email address to be added to the mailing list (if desired) Billing Contact Name* Address Street Address ZIP / Postal Code Contact Phone*Class selection*3-4yrs5-6yrs7-8yrs9-10yrs11-12yrs13-15yrs16yrs+Open EliteLadiesNSP AbleSelect your preferred class time and location. If you are enrolling for two classes p/week, select the two class option.Choose Class Timing + Place (3-4 years) 10:30am Saturday Class - Northbridge Public School Choose Class Timing + Place (5-6 years) 1 Class: 11:15am Saturday - Northbridge Public School Choose Class Timing + Place (7-8 years) 1 Class: 5:00 pm Monday - Northbridge Public School 1 Class: 12:00pm Saturday -Northbridge Public School 2 Classes: 5:00pm Monday + 12:00pm Saturday Choose Class Timing + Place (9-10 years) 1 Class: 5:00 pm Wednesday - St Marks Northbridge 1 Class: 1:00pm Saturday - Northbridge Public School 2 Classes: 5:00pm Wednesday - St Marks Northbridge + 1:00pm Saturday - Northbridge Public School Choose Class Timing + Place (11-12 years) 1 Class: 6:00pm Wednesday - St Marks Northbridge 1 Class: 2:00pm Saturday - Northbridge Public School 2 Classes: 6:00pm Wednesday - St Marks Northbridge + 2:00pm Saturday - Northbridge Public School Choose Class Timing + Place (13yrs) 1 Class: 4:00pm Monday - St Marks 1 Class: 5:30 pm Thursday - Northbridge Public School 2 Classes: 4:00pm Monday + 5:30pm Thursday Choose Class Timing + Place (14 and 15yrs) 1 Class: 4:30pm Monday - St Marks 1 Class: 5:30 pm Thursday - Northbridge Public School 2 Classes: 4:30pm Monday + 5:30pm Thursday Choose Class Timing + Place (16yrs - Intermediate) 1 Class: 5:30pm Monday - St Marks 1 Class: 6:30 pm Thursday - Northbridge PS 2 Classes: 5:30pm Monday - St Marks + 6:30pm Thursday - Northbridge PS Choose Class Timing + Place (Open Elite) 1 Class: 6:15pm Monday - St Marks 1 Class: 7:15pm Thursday - Northbridge PS 2 Classes: 6:15pm Monday - St Marks + 7:15pm Thursday - Northbridge PS Choose Class Timing + Place (Ladies) 1 Class: 7:15pm - 8:15pm Monday - St Marks 1 Class: 9:30 am - 10:30am Saturday - Northbridge PS 2 Classes: 7:15pm Monday - St Marks + 9:30am Saturday - Northbridge PS NSP Able 1 Class: 4:15pm - 5:00pm Monday - Northbridge Public School Total $0.00 Clothing size*To assist us with ordering leotards/costumes, what Australian size do you or your daughter currently wear? (Note: we will take growth into consideration!)C2C4C6C8C10C12C14L6L8L10L12L14L16L18Photographic consent*Do you give permission for North Sydney Physie and Dance and the Australian Physie and Dance Association (APDA) to use you/your daughter's photo in print media (flyers, brochures and programs) and online (website, social media) Yes No Special considerationsDoes your child have any medical conditions or require any special adjustments or considerations? Please outline below. Eg. Asthma, Injury, Diabetes, Epilepsy, Disability etc. Code Of Conduct* Yes, I have read, understood and agree to the North Sydney Physie & Dance Code of Conduct By ticking this box I acknowledge that I have read the North Sydney Physie and Dance code of conduct for members and parents (below) and agree to abide by the terms and conditions of enrolment as outlined in that document. Acknowledgement of fees* I agree I understand that fees are payable per term regardless of the number of attending weeks in each term. NSP Code of Conduct 2023