DM Dance - Pretoria Central & West

DM Dance - Pretoria Central & West
Details of Dancer
New or returning dancer:*

New DancerReturning Dancer
New Dancer - R150 Registration Fee
Please make a selection:*

Dance MouseDM BallerinaBoth Dance Mouse and DM BallerinaDM Tots
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3-4yrs5-6yrs7-8yrs9-10yrs11-12yrs
Date started:*

DayMonthYear
Date
Dancers Name:*

First NameLast Name
Boy or girl?*

BoyGirl
Date of birth:*

DayMonthYear
Date
Age:*
School:*
Grade:*
Allergies if any:
Person Responsible for the Account
Payment Option:*
Fees are available under the schools & fees tab.

*Term fees are due in the first month of the term.

** Monthly payments are due by the 7th of each month.
Parents Name:*

First NameLast Name
Cell Number:*
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Email 1:*
example@example.com
Email 2:
example@example.com
ID number:*
Whatsapp phone:*
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Physical Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of relative not living with you:
Tel number of relative:
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Details of Dancer