Awesome Autumn Dance Workshops
Complete the form below to secure YOUR SPOT to attend the 2024 Awesome Autumn Dance Workshops!!
Sign in to Google to save your progress. Learn more
Applicant's Full Name *
Date of birth *
MM
/
DD
/
YYYY
If you are not a registered PPC Member, please provide a parent's name 
Please provide best contact number.
*
Please provide best email address. *
Please select the Awesome Autumn Dance Workshops your daughter will be attending.

Note: Payment is not required until you receive confirmation of your booking
*
Required
I give permission for "The Peninsula Physical Culture Club Inc." to share group photos and videos of my daughter on social media.
*
All care will be taken using safe practice, but no responsibility for personal injury.
I give permission for a qualified First Aid Officer to administer first aid if necessary.
*
Are there any allergies or medical conditions that we need to be aware of?
If you do not dance at PPC, how did you find out about this event?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy