JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Kanvas Academy Registration Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Participant Information
Please fill in the dancer's information here.
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Home Address
*
(House Number, Street Name & Postcode)
Your answer
Phone Number
*
We may use your mobile for emergencies.
Your answer
Email Address
*
We may use your email to send important updates and information such as class cancellations.
Your answer
Classes Attending
*
Open Style (Street Dance)
Cheerleading
Required
How did you hear about us?
*
Word of Mouth
Social Media
Poster/Flyer
Website
School Visit
Other:
Medical Conditions
Please let us know about any conditions that your instructor may need to know about (Asthma, Seizures, etc.):
Yes
No
Clear selection
Next
Page 1 of 6
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
