Be Unique At Home Registration Form
Please take two minutes to complete this short survey. It will help us

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Your name: *
Your email address: *
Your mobile number: *
Child's name: *
Child’s Date Of Birth: *
The class/classes you would like to register your child for: *
Required
Do you give permission for your child to appear in Be Unique social media photos and videos taken during our online classes? *
As online classes give us the opportunity to connect with a wider audience at this time, please let us know which town you live in:
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