Recreational Classes Registration

KTB Allstars Recreational Dance and Cheerleading Classes Registration Form

This class runs Thursday 5PM-5:45PM £4 per class payable via bank transfer or cash
Name

First NameLast Name
Date of birth

MonthDayYear
Date
Parent/Guardian Name

First NameLast Name
Email
example@example.com
Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name

First NameLast Name
Relationship to Student
Phone Number
Please enter a valid phone number.
Level of Experience

BeginnerIntermediateAdvanced
Medical Conditions or Allergies
How did you hear about us?

Word of MouthWebsiteSocial MediaFlyerOther
Terms and Conditions:

By submitting this form, I acknowledge that participation in dance classes involves physical activity and I hereby release the dance studio and its instructors from any liability for injuries or accidents that may occur during classes or events.
Photo consent, please see our policies and procedures https://ktballstars.co.uk/ktb-policies
Signature

Powered by Jotform SignClear
Date signed

MonthDayYear
Date
Should be Empty:

KTB Allstars Recreational Dance and Cheerleading Classes Registration Form