Dance Classes Registration

Competition Dance Classes Registration Form
Name

First NameLast Name
Date of birth

MonthDayYear
Date
Gender

MaleFemale
Parent/Guardian Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name

First NameLast Name
Relationship to Student
Phone Number

Area CodePhone Number
Level of Experience

BeginnerIntermediateAdvanced
Preferred Class Day and Time

MonthDayYear
Date
Hour MinutesAM/PM Option
How did you hear about us?

Word of MouthWebsiteSocial MediaFlyerOther
Signature

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Date signed

MonthDayYear
Date
Class interested in

Mini Pom Under10sYouth Lyrical Under14sYouth Pom Under14sYouth Hiphop Under14s
Thankyou for choosing KTB Allstars !

Once the form as been submitted someone from our team will be in touch within 5 working days to discuss the next steps!!
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Competition Dance Classes Registration Form