Millennium Dance Co 2022 Registration Form
Please Fill in the form below.
I am a
New Member
Existing APDA Member
Dancer / Participant Name
First Name
Last Name
Parent / Guardian Name
First Name
Last Name
Dancer / Date of Birth
*
-
Day
-
Month
Year
Date
Email
*
example@example.com
Age as 1 September 2022
*
Singlet Shirt Size
*
Please Select
Child 2
Child 3
Child 4
Child 5
Child 6
Child 8
Child 10
Child 12
Child 14
Child 16
Ladies 12 (Equiv to Child 14)
Ladies 14
Ladies 16
Ladies 18
Upon paying Term 1 Fees in full with MDC Registration & Insurance you will receive your Singlet.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Class Selection (age as at 1 September 2022)
Tiny Tots
Petites 4, 5, 6
7-8 Years
9-10 Years
11-12 Years
13-15 Years
16 Years - Opens
Ladies
Classes per week (Please select and refer from MDC Timetable)….. Your 2022 Term 1 Invoice will be generated from the following class selections.
1 Class Per Week
2 Classes Per Week
3 Classes Per Week (Victoria Pt, Geebung, Capalaba)
Stretch Class (Capalaba Monday)
Submit - Thanks for Joining MDC!!
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform