2024 STUDENT DETAILS FORM (Interest / Registration)

2025 STUDENT DETAILS (Interest / Registration)

PLEASE COMPLETE & PRESS SEND TO SECURE SPOT OR BOOK A TRIAL CLASS!
1st Student Name + Age

Full name Age
D.O.B
2nd Student Name + Age

Full name Age
D.O.B
Please type
3rd Student Name + Age

Full name Age
D.O.B
Please type
Parent Full Name

PrefixFirst NameLast Name
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact Full Name

PrefixFirst NameLast Name
Emergency Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you or your child…
If a NEW Student are you or child

Other
Experience Details
SELECT all classes interested to TRY / JOIN
There may be some changes to this year’s time table to fit additional NEW classes or due to student age! Please indicate ALL availability below to be considered. Be sure to include as many options as possible not just prefereed 🙏

Other
Would you or your child like to participate in Performance Opportunities @ Community Events & our EOY Concert ?

Other
Are you or your child interested to compete

Other
Comments / Questions
Would you or your child be interested to purchase any of the following BODYBEATS branded Merchandise

Other
Should be Empty:

2025 STUDENT DETAILS (Interest / Registration)