SIGN UP FORM
CHILD’S NAME
First Name
Last Name
AGE
PARENT/GUARDIAN NAME
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PARENT/GUARDIAN EMAIL
example@example.com
PARENT/GUARDIAN PHONE NUMBER
Please enter a valid phone number.
Format: (000) 000-0000.
NEXT OF KIN
First Name
Last Name
DOES YOUR CHILD HAVE AN ALLERGY, DISABILITY OR HEALTH CONDITION?
I am the parent/guardian of the above-named child and consent to Josh Jones Academy processing this personal data to achieve their educational aims, including registration and ensuring the safety of my child at a Josh Jones Academy’s session.
Yes
No
I am the parent/guardian of the above-named child and I give consent for Josh Jones Academy to take photographs, film and record my child for promotional purposes.
Yes
No
Submit
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