Motion Dance Centre 2019/2020 Registration
Email address *
Student email address
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Parent Full Name *
Your answer
Student Full Name *
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Parent Phone Number *
Your answer
Student Date of Birth *
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DD
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YYYY
Address *
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Allergies/medical conditions that instructors need to be aware of?
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Emergency Contact *
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Student clothing size (for costumes, and for studio tshirt) *
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How did you hear about us?
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I am registering for *
Acro Classes - please note, you must be taking a technique class to qualify for the performance class
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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