SUMMER DANCE PARTY
20th of January | Under 18's Dance Party!
PARTICIPENTS INFORMATION
Student Name
*
First Name
Last Name
DOB
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
EMERGENCY CONTACT INFORMATION
EMERGENCY CONTACT Full Name
*
First Name
Last Name
EMERGENCY CONTACT Phone Number
*
-
Area Code
Phone Number
SOCIAL MEDIA WAIVER
Do you give permission for your child to be photographed or filmed in class? (Please note, any content filmed in class may be posted to our social media accounts)
*
YES
NO
ENROLMENT CONFIRMATION
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SUMMER DANCE PARTY TICKET
$
25.00
AUD
Quantity
1
2
3
4
5
6
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10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
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