Enrollment
Student Name (First) *
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Student Name (Last) *
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Date of Birth *
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Parent/Gardian *
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Address *
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Phone Number (Home)
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Phone Number (Mobile)
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Email *
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I wish to enrol in (list all) *
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Please choose one
Siblings enrolled
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Emergency Contact Name *
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Emergency Contact Number *
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Check all that apply
Please list Medical or Health Conditions or any ongoing injuries
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Please list previous dance experiance
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I have read and agree to 8Count terms and conditions *
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