Desibeat Dance Student Registration
Student Date of birth
Student Emergency Contact details
Select your zone
North Zone Saturdays: Marlborough Primary School 4 Wykeham Place, Glenfield
Central Zone Sundays: CitySide dance studio 111a May Rd Mt Roskill
North Zone: Saturday Classes
Juniors 4-8years: Saturdays 930am-1020am
Intermediate 9-13years: Saturdays 1030am-1120am
Central Zone: Sunday Classes
Juniors 4-8years: Sundays 1pm-1:50pm
Intermediate 9-13years: Sundays 2pm-2:50pm
Secondary 14-18years: Sundays 12pm-12:50pm
Term 3 2019
Term 4 2019
Bank transfer for the term
Cash payment for the term
Please state any dance experience your child has
Lastly, Please state any pre existing medical conditions your child has (e.g. asthma, severe nut allergies)
Send me a copy of my responses.
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