Rasa School of Dance Registration Form
Must be completed by a parent/guardian if under 18
Student Information
Help us get to know the dancer.
First and Last Name *
Your answer
Age *
Your answer
Date of Birth - Please complete carefully and check the YEAR. This is important for exams. *
MM
/
DD
/
YYYY
School Year *
Please indicate the school year the dancer will be (at their school E.g. year 10 at Otago Girls) while attending classes at Rasa.
Current School
Your answer
Address *
Your answer
Student Mobile Number *
Your answer
Student Email (please double check spelling) *
Your answer
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? *
Your answer
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