Free Trial Class - GC Physie and Dance

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Register here for your first free class with GC Physie and Dance Club Inc.

Please complete and submit the application form below. If you would like more information about membership for our organization please specify your questions in the comment box below.

Parents/Guardian Name *

Dancer name *

Dancers age on 31st August 2024 *

Email: *

Mobile: *

Address: *

Any allergies/illness/disabilities? Anything else you feel our teachers should be made aware of? *

Do you give permission for photos of members to be used on GC Physie and Dance Club advertising material including website? *

Yes

Comments & Emergency contact other then contact listed *

Submit

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