New Dancer Registration Form
Karma Dance Krew
Dancer Details:
Dancer Full Name
*
First Name
Last Name
Date of Birth*
Address
*
Street Address
Street Address Line 2
City
State / Province
Eir Code
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Contact
Name
Phone Number
What is you/your child's dance experience?
First Timer
Beginner
Intermediate
Advanced
What Classes are you interested in? (Tick one or more)
Mini-Mini's (Age 3-7yrs)
Minis (age 7-9yrs)
Juniors Beginner(age 9-12yrs)
Juniors Intermediate (Age 9-12yrs)
Teen Beginner
Teen Intermediate
Teen Advanced
Adults Commercial Class
Adults Only Sexy Class
Open Break Dance Class
Open Hip Hop Class (Solo/Battle training)
How many times a week would you/your child like to dance with us?
Once a week
Twice a week
As Many times as necessary
Why would you like to join Karma? (Tick one or more boxes)
To learn a new skill
To Compete in competitions
To make new friends
For my mental health
To improve my confidence
To be part of Karma Family
Because dancing is my life
Just for fun
Please provide any medical details below ie. Allergies, Asthma, seizures, Mental health etc
I understand that all enrolment forms will be received and reviewed, and I will get all information about new classes by the 5th January 2025.
I agree
Submit
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