Request edit access
JK's Performance Academy Student Enrolment Form
Sign in to Google to save your progress. Learn more
Student Full Name *
Student DOB *
Student Address *
Primary Parent/Guardian Contact Name  *
Primary Parent/Guardian Contact Number *
Primary Parent/Guardian Contact Email *
Parent/Guardian Emergency Contact NAME (different from above) *
Parent/Guardian Emergency Contact NUMBER (different from above) *
Does the student have any ALLERGIES we should be aware of? (If yes, please give details)  *
Does the student have any HEALTH CONCERNS we should be aware of? (If yes, please give details)  *
Do you give JK's Performance Academy Permission to take PHOTOGRAPHS AND VIDEOS of the student for social media use? *
Required
Are you happy for us to contact you via whatsapp to keep you updated about shows and events? 

(Please make sure you add our contact number to receive messages or we may not pass your spam filter)
 *
Required
By Checking this box, you understand that fees are due at the first class of each month and that overdue payments by more than 2 weeks are subject to a 10% late payment charge? *
Required
Which class will the student be attending?  *
Required
Please state your name and relationship to the student followed by the date. 
 ie. John Smith - Grandfather- 10/01/2024
 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms