CV DANCE STUDIO ENROLMENT FORM 2022
ALL CONTACT DETAILS MUST BE FILLED OUT BEFORE ENROLMENT WILL BE ACCEPTED FAMILIES - PLEASE FILL OUT A SEPERATE FORM FOR EACH CHILD
Students Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Students Date of Birth
-
Month
-
Day
Year
Date
Students Age as of 01/01/2022
Parent 1 Name (main contact for enrolment and fees)
First Name
Last Name
Parent 1 Email
example@example.com
Parent 1 Phone Number
Please enter a valid phone number.
Parent 2 Name
First Name
Last Name
Parent 2 Email
example@example.com
Parent 2 Phone Number
Please enter a valid phone number.
MEDICAL ISSUES - A parent must be in attendance at all times if student is affected by life threatening conditions (epipen, severe asthma etc)
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CLASSES I WOULD LIKE TO ENROL IN
I have read & agree to all conditions set out in the CV DANCE STUDIO HANDBOOK
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