Toddler Sing and Dance  Registration form
This form must be completed by Parent/ Guardian 

Complete the form below to register to join our sessions. If you need support in completing this form, please contact LCUK at info@lusoconnectionuk.org
On Reception of  your completed form we will email you more information about the session in due time ( before the start of your session).

Sign in to Google to save your progress. Learn more
Email *
Full name
Address(inc. house number, street and postcode)
 Mobile Number
Child Name *
Child Date of Birth *
MM
/
DD
/
YYYY
Gender
Clear selection
Ethnicity  *
Parent Country of origin (Non- UK Born) *
Required
Emergency contact name

Relationship of emergency contact ( e.g. mum, dad etc)
Emergency contact mobile number
Do you have any medical condition that we should be aware? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms