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Easter School 2022 Registration Form
Please complete a separate form for each person registering.
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* Indicates required question
Email
*
Your email
First Name:
*
Your answer
Last Name:
*
Your answer
Primary Phone Number:
*
Your answer
Alternative Phone Number:
Your answer
RSCDS Number:
Your answer
Emergency Contact
*
Please include the name and phone number of your emergency contact.
Your answer
Class, mark one oval only
*
Advanced - Familiar with all formations and able to dance a dance from a briefing only.
General - Familiar with all common formations
Elementary - Working towards familiarity with common formations
Teacher's Details
*
Please include the name of your club teacher and their email address or a phone number.
Your answer
Covid Vaccination
*
I understand that Vaccination Passes are required for admission to all School events
Required
Registration Fees Payable
*
Choose
Not RSCDS Member $135
RSCDS Member (Membership Number must be provided above) $120
Junior Dancer (under 18) $60
Fees to be paid to RSCDS Otago Region 03-0903-0380497-00
Please use your name as a reference in one of the fields
A copy of your responses will be emailed to the address you provided.
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