Novice Duets Registration Form
DANCER 1
First Name
Last Name
DANCER 2
First Name
Last Name
Age Dancer 1
Age Dancer 2
DOB Dancer 1
DOB Dancer 2
Parents Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Home
Mobile
Teachers Name and Dance School
Teacher
School
Baby 6 years and under Novice
Ballet
Tap
Modern
Character
Song and Dance
Acro
Global
Greek
Inter 14 years and Under Novice
Ballet
Tap
Modern
Character
Lyrical
song and Dance
contemporary
Acro
Global
Greek
Junior 10 years and Under Novice
Ballet
Tap
Modern
Character
Lyrical
song and Dance
Acro
Global
Greek
senior 15 years + Novice
Ballet
Tap
Modern
Character
Lyrical
song and Dance
contemporary
Acro
Global
Greek
Does your Child Have any Medical Conditions ?
yes
no
If Yes Please state what Medical condition They have
I Agree to my child's Photo/video to be used on social Media Pages
yes
no
I Agree to my child's Photo / Video To be Being Taken
yes
no
I Agree I have read all The Ash Festival Rules Via website
yes
no
£4.50 per Dancer
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next
( X )
Novice Duets
£
9.00
Quantity
1
2
3
4
5
6
7
8
9
10
Total
£
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Pay and submit
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