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RazzamaJazz Dance Studio 2024 Enrollment Form
One form per student
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Email
*
Your email
Student first and last name
*
Your answer
Date of birth
Your answer
Parents name
Your answer
Parents contact number
Your answer
Postal address
Your answer
Emergency name and contact (other than parents)
Your answer
Do you give permission for us to perform first aid as we see necessary, or to call an ambulance if needed, agreeing to pay any costs that may arise?
*
Yes
No
Please state any relevant medical information
Your answer
I would like to be part of the end of year concert?
Yes
No
Clear selection
I would like to know more information about local competitions?
Yes
No
Clear selection
Do you give permission for your child's photo and or video to be used in general advertising for the studio as well as videography and photos from the concert.
Yes
No
Clear selection
I would like to enrol in the following classes:
Jazz
Contemporary/Lyrical Ballet
Tap
Tiny Tots (3-4yrs)
Private class
In the following levels (N/A for tiny tots)
Junior (5-7yrs)
Intermediate (8-12yrs)
Sub seniors (13yrs-15yrs)
Senior (15yrs+)
Adults
Clear selection
Is there anything else you would like Bec to know, or any concerns that you have?
Your answer
By clicking "I agree", I agree to all RazzamaJazz Policies above but most of all agree to have fun!!!!!
*
I agree
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