JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration Form & Summer Workshop Booking 2023 (New Students)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's Full Name:
*
Your answer
Child's Age
*
Your answer
Child's Date of Birth:
*
MM
/
DD
/
YYYY
Second child's Full Name (if applicable):
Your answer
Second Child's Age (if applicable):
Your answer
Second Child's Date of Birth (if applicable):
MM
/
DD
/
YYYY
Parent/Guardian's Full Name:
*
Your answer
Parent/Guardian's Contact Number:
*
Your answer
Parent's Email Address:
*
Your answer
Second Emergency Contact Number:
*
Your answer
Child's Home Address:
*
Your answer
Please provide details of any allergies, medical requirements or additional needs:
*
Your answer
Photos and videos may be taken during classes to be used on social media e.g our website, flyers and for promotional purposes:
*
I give consent for photos/videos to be taken of my child/children for promotional purposes
I do not give consent for photos/videos to be taken of my child/children for promotional purposes
Required
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Monsters Dance Company.
Report Abuse
Forms
