Clone of ASOD Student Registration Form

ASOD Class Registration Form
Screenshot Of Payment*

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Kindly use the registered person's NAME as reference in your payment details.

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Information
Name of Class*
e.g Contemporary Flow
Name*

First NameLast Name
15 - 2021 - 3031- 4041 - 50
Main Contact Number*

+65Phone Number
Main Email*
*Gmail, Yahoo, Outlook is preferred
Emergency Contact*
Allergy note [if any]:
How did you find us:*
If selected others, please indicate here
Terms and Conditions
By checking 'I Agree' below and submitting this form, you, or the Parent or Guardian of the above student(s), agree to release "Amy's School of Dance", including instructors and assistants from liability for any and all injuries which may occur while training, practicing, performing, or during any studio event or an outdoor activity. You also agree that you are responsible for health and accident insurance and any medical costs incurred due to injury. You give permission for emergency medical transportation and treatment of your child at your expense should the need arise. You also give your permission for the public display of any studio visual images that your child may appear in.
Signature*
Should be Empty:

ASOD Class Registration Form