Salto! Youth Registration Form
Salto! Juniors is an all-inclusive dance class for children aged 11-16yrs with learning disabilities. If you are interested in your child joining the group please complete this regisration form and a member of the team will be in touch.
First name of participant: *
Your answer
Last name of participant *
Your answer
Age of participant *
Your answer
Date of Birth of participant *
MM
/
DD
/
YYYY
Name of participant's current secondary school *
Your answer
Name of Parent/Carer
Your answer
Address
Your answer
Telephone number (home)
Your answer
Telephone number (mobile)
Your answer
Email address of parent/carer *
Your answer
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