ENROLMENT 2021
DANCER INFORMATION
Students Full Name *
Students Date of Birth *
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Student Age as of 31st August 2021 *
Residential Address *
Best Contact Email *
Parent's Full Name *
Mobile Number *
Special Considerations (Medical or Other) *
Photographic Consent - Do you give permission for Sefton Physie to use you/your daughter's photo in print media (flyers, brochures and programmes) and/or online (website, social media)? *
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