Enrolment & Media Consent
Symphony Dance School Enrolment and Media Consent Form
Student's Full Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Parent/Guardian : Name *
Parent/Guardian : Telephone Number *
Parent/Guardian : Email Address *
Address of Student including Postcode *
Alternative Parent/Guardian Contact Information
Allergies / Medical Conditions
Days Attending: *
Required
MEDIA CONSENT *
Required
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