Motion Dance Centre 2019/2020 Registration
Email address *
Student email address
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Parent Full Name *
Your answer
Student Full Name *
Your answer
Parent Phone Number *
Your answer
Student Date of Birth *
Address *
Your answer
Allergies/medical conditions that instructors need to be aware of?
Your answer
Emergency Contact *
Your answer
Student clothing size (for costumes, and for studio tshirt) *
Your answer
How did you hear about us?
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I am registering for *
Acro Classes - all ages
Comprehensive Training Program - please select one
Classes for ages 0-3
Classes for ages 3-6
Classes for ages 7-11
Classes for ages 12-18
Classes for Adults (18+)
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