JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Free Trial: Childrens Bollywood Registration
Please fill out this form for your Childs free trial class which is held on the FIRST day of each term.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Student Surname
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Number
*
Your answer
Student Date of Birth
*
Your answer
Class stream based on age at time of registration. Please select one:
*
Sub Junior: 4 years - 7 years
Junior: 8 years - 12 years
Intermediate: 13 years - 17 years
Required
Enrolment
*
Term 2 2024
Required
Payment Option
*
Bank transfer $95
Eventbrite Payment $95
Please select which one applies to your child
*
Paid student - Updating details
Brand new to Desibeat and coming in for the free trial on the FIRST day of term
No prior dance experience is needed but please state any experience that your child may have and wish to share
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
