JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Term 1, 2024 Registration form
Start Date: Tuesday 13 February 2024
TIME: 4.00-5.00pm
Venue: Studio 1, TAPAC, 100 Motions Road, Western Springs
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full Name (s) of student (s)
*
Your answer
Age
*
Your answer
Does your child have any allergies or medical concerns? If yes please outline.
*
Your answer
Parent or Guardian name
*
Your answer
Parent Guardian contact cell phone number
Your answer
Parents Email for newsletter
*
Your answer
Suburb
*
Your answer
Ethnicity
Samoan
Pakeha
Maori
Tongan
Asian
Has your child done Siva Samoa before?
*
Yes at TAPAC in previous years
Yes, at another school
No
Required
How did you hear about the classes?
*
Former student
Pacific Dance NZ FB or Instagram Page
TAPAC Website
Other
Required
Does you child have any health concerns? If yes please give details.
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pacific Dance New Zealand.
Report Abuse
Forms
