Fall Dance Workshop Registration Form 2021

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete the following information below. We are excited to host your child on Saturday, October 30 from 8:30 am - 12:30 pm. Our groups for Kindergarten /1st grade are full and can accommodate no additional children as of October 29.

Email *

Child's First Name *

Child's Last Name *

Gender *

Child's Age *

Child's Grade in School *

Parents Names (Include first and last names for each parent as applicable) *

Best phone number to reach parent (mobile number preferred) *

School that my child attends: *

If your child has any food restrictions, please note specifics below. If none, indicate n/a. *

Identify your child's preferred t-shirt size.

Please indicate that you have read and agree to the information below.

I agree to the participation expectations as described above.

If you have health insurance, please indicate the insurance company, policy number and group number below.

Signature: Please sign with your first and last name to complete this form. It is understood that this electronic signature is recognized as the same as a handwritten signature. *

If you know a Nordhoff Dancer that you hope will be your child's buddy, please list the high school student's name below.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of OJAI UNIFIED SCHOOL DISTRICT. Report Abuse

Forms