Desibeat Dance Student Registration
Email address *
Student Name *
Your answer
Student Date of birth *
Your answer
Student Gender *
Parent/Caregivers Name *
Your answer
Student Emergency Contact details *
Your answer
Select your zone *
Required
North Zone: Saturday Classes
Central Zone: Sunday Classes
Enrolment *
Required
Payment options *
Please state any dance experience your child has *
Your answer
Lastly, Please state any pre existing medical conditions your child has (e.g. asthma, severe nut allergies) *
Your answer
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