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Te Fare O Tamatoa Registration
Please fill out and submit this form to register for Te Fare O Tamatoa classes
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Email
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Your email
Student Information
Name
*
First and last
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Additional student names and date of birth
For under 18yr siblings/family
Your answer
Address
*
Street address, City, State, Zip
Your answer
Please list any medical conditions we should know about.
Your answer
Dance background/history (if any)
Your answer
Contact information
Phone number
*
Valid phone number
Your answer
Parent/Guardian info (if under 18 years old)
Name, address, phone/email
Your answer
Emergency contact info
*
Name, relation, phone/email
Your answer
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