Fall 2019 Child Registration
Select the class you would like to register for: *
Required
Student Name *
Your answer
Preferred Gender Pronouns *
(He/Him/His, She/Her/Hers, They/Them/Theirs, other)
Your answer
Parent/Guardian Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Release and Waiver of Liability *
Required
Photo/Video Release (Optional)
Special Considerations
Please use this space to ask questions or voice any concerns relative to your child’s participation in flamenco classes.
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