APC STUDIOS ENROLMENT FORM
Please complete the form below to book your FREE TRIAL CLASS.
Dancers Name
First Name
Last Name
Dancers DOB:
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Month
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Day
Year
Email
All corresponding information will be sent to this address.
Contact Number
Please enter a valid phone number.
What class/classes would you like to trial?
Inter Pre Pointe
Inter Ballet
Inter Tap
Adult Ballet
Adult Pro Tap
Acrobatics
Senior/Advanced Tap
Senior/Advanced Ballet
Stretch and Flexibility
Senior/Advanced Jazz and Commercial
Senior/Advanced Lyrical Contemporary
Adult Pro Commercial
Private Lessons
Preferred Trial Date
Parent or Emergency Contact Name
First Name
Last Name
Emergency Contact Number
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Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are there are medical conditions, disabilities or diagnosed mental health conditions we should be aware of?
Do you agree to our Privacy Policy
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Do you agree to our Covid Policy?
Yes
No
Do you agree to the use of photographs and videos to be taken and used for advertising?
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No
How did you hear about us?
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Facebook
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Website
Leaflets
Referral from a current student
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Any additional comments or questions you would like to add?
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