Huyton Trial Session registration form

TRIAL SESSION Registration Form

Please complete all of the necessary information.
Child Name

First NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Name

First NameLast Name
Email Address
example@example.com
Phone Number

07/447Phone Number
Venue
Class*
Date*

DayMonthYear
Date
Hour MinutesAM/PM Option
Does your child have any medical conditions?
Do you allow your child to be photographed for promotional purposes?

YesNo
Should be Empty:

TRIAL SESSION Registration Form