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Pamela Miller Ballet School Registration Form
Mrs Pamela Miller, and Miss Esther Thorne
Mobile: 07776282900
Email:
pamelamillerballetschool@gmail.com
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Date of application
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YYYY
Full Name of Pupil (First, Second and Surname)
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Your answer
Pupil's Date of Birth
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DD
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YYYY
Name of Parent(s)/Guardian(s)
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Your answer
Address
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Your answer
Email Address
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Your answer
Landline Number
Your answer
Mobile Number
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Your answer
Any Medical Conditions That You Think We Should Be Aware Of?
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Your answer
Permission For Photographs/Videos To Be Taken and Displayed on School Website/Social Media?
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Yes
No
Which Day/Location Do You Wish To Attend?
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Monday - Pontardawe - Pontardawe Arts Centre
Tuesday - Penllergaer - The Llewellyn Hall
Thursday - Morriston - Libanus Church *ADULTS ONLY*
Friday - Llanelli - Felinfoel Community Resource Centre
Saturday - Morriston - Aenon Baptist Church
Unsure - Would Like More Information
How Did You Learn About The Pamela Miller Ballet School?
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Do You Know Any Other Pupils Who Attend The School?
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Do You/Have You Ever Attended Any Other Dance School?
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No
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