Chrismic Dance School
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Chrismic Dance School
Home
About
Classes
Lesson Fees
Contact
Student Registration
Student registration details
Student Details
Name
Age
Date of Birth
Date of Birth
Parent / Guardian Details
Name
Relationship to Student
Contact Number
Email Address
Emergency Contact Number
Alternative Person for Pickup
Medical History
Ongoing Injuries?
Any Allergies?
General Concerns to be Noted?
Terms and Conditions
T&C's Agreement
Yes
No
Comments
Signature (Name as acknowledgement)
Date Field
Date Field
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+44-7747662603
lisadee@chrismicdance.co.uk