Join the IO Crew! Save a tree and register your enrolment below. Registration Applicant DetailsStudent's Name* Phone Mobile Email Date of Birth NDIS NumberName of Contact Person* Contact Person's Number*Contact Person's Email* Do you identify as experiencing disability?* Yes No People experiencing disability include “those who have long-term physical, mental, intellectual or sensory impairments which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others” United Nations Convention on the Rights of Persons with Disabilities 2006.Which venue(s) would you like to attend?*1. 2. 3.What classes are you interested in? Tick as many as you'd like* Hip hop, street and urban Contemporary/Jazz Drumming (yoga ball) Drama Exercise/Fitness/Strength Do you agree to be included in photos/videos taken during classes and performances?* Yes No Media Information: We take photographs and videos of all our classes to use for social media and publicity purposes. Unless we are notified, student agree to be in class photos taken during class time or performances. Please tell us a bit about yourself...What previous dance or performance experience do you have?What do you hope to gain from being part of InsideOutside Dance?Access RequirementsDo you have any medical, disability, dietary, welfare, wellbeing or access requirements you would like us to be aware of?* Yes No If yes, please specify belowAccess RequirementsHealth & EmergencyDo you have any allergies?In case of emergency, I give permission for appropriately trained persons to administer medical treatment. In case of such an emergency, please contact;Name* Phone* Alternate Phone If you need to be accompanied by a support worker please give person’s name and contact details here. There will be no charge for a support worker to accompany you;Support Worker's Name Phone Alternate Phone PaymentWill you be paying with NDIS?* Yes No If paying with NDIS, would you like your invoices sent to: Your NDIS provider Yourself/Guardian Did you organise the dance classes through a disability organisation? If so, please specify which organisation and provide a point of contact for this organisation.Disability OrganisationUntitled Untitled Δ
