Rasa School of Dance Registration Form
Must be completed by a parent/guardian if under 18
Help us get to know the dancer.
First and Last Name
Date of Birth - Please complete carefully and check the YEAR. This is important for exams.
Please indicate the school year the dancer will be (at their school E.g. year 10 at Otago Girls) while attending classes at Rasa.
Year 1 (Primary)
Year 2 (Primary)
Year 3 (Primary)
Year 4 (Primary)
Year 5 (Primary)
Year 6 (Primary)
Year 7 (Intermediate)
Year 8 (Intermediate)
Year 9 (High School)
Year 10 (High School)
Year 11 (High School)
Year 12 (High School)
Year 13 (High School)
Student Mobile Number
Student Email (please double check spelling)
Do you have another family member/s dancing at Rasa?
Are you a returning student? Previous year's class (this can be found on your invoices), or other experience?
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