New Student Registration Form

New Student Registration Form
E-mail
example@example.com
Phone Number*
First Name
Last Name
What suburb do you reside in (marketing purposes)?
How did you hear about us?*
What class will you be joining?
Is there a particular reason who have joined us, or hope to get out of our classes?
Any medical concerns that may affect your learning with us?
Do you have any dance experience? If what and with whom please?
What is your super power that you can support us in?
Do you have Facebook (to add you to our private group)?

YesNo
If yes, what is your Facebook name and description of profile picture?
Should be Empty: