School Of The Prophetic Dancer-Enrollment Form

School Of The Prophetic Dancer

2025–2026 STUDENT ENROLLMENT FORM School Year: September 2, 2025 – June 26, 2026 Hosted by: April L Anthony Ministries Inc. schoolofthepropheticdancer@aprilanthonyministries.org | +1(586) 500-7775
Please verify that you are human*
Applicant Information
Name*

First NameMiddle NameLast Name
Gender*
Marital Status
Religion
Home Church Name (if any):
Briefly share your dance or worship experience (optional):
Date of Birth*

MonthDayYear
Date
Place of Birth
Email*
example@gmail.com
Mobile Phone Number
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Contact In case of Emergency
Name*

First NameMiddle NameLast Name
Mobile Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship*

Parental Information
Name of Mother*

First NameMiddle NameLast Name
Mother's Job/Position*
Mobile Number*
Address of Mother*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Father*

First NameMiddle NameLast Name
Father's Job/Position*
Mobile Number*
Address of Father (if not the same as above)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MEDICAL INFORMATION: Allergies or Medical Conditions?*

YesNo

Full Name of Applicant*

First NameLast Name
I hereby affirm that I have read and understood all the instructions in connection with my application for the AISAT Baliwag. I likewise affirm that all information supplied her

CONSENT & AGREEMENT

By signing below, I confirm that the information provided is accurate. I agree to abide by the guidelines and schedule of the School of the Prophetic Dancer. I release April L Anthony Ministries Inc. from any liability in case of injury and grant permission to use photos/videos for ministry and promotional purposes.

ein are complete and accurate. I am aware that any or all of the information furnished in this application form may be checked against documents. Withholding or giving false information will make me ineligible for admissions or subject to dismissal. If admitted, I agree to abide by the policies, rules and regulations of the Asian Institute of Science and Technology Central Inc.
Applicant's Signature*

Powered by Jotform SignClear
Should be Empty: