Dance Class Registration for 2 Many Dance Moves

Students (If registering more than one child, please complete a form for each dancer)

Date of Birth

Day

Month

Year

Image of child

This is only important for new students to help us recognise them when they start

Image of Parent/Guardian permitted to collect

Parent/Guardian Name

Address

Phone Number

2nd Phone Number

Medical Conditions/additional needs including if not toilet trained

Class Selection

Monday to Wednesday Age 3-5 (9-11am)€60

Monday to Wednesday Age 6-12 (11.30-1.30pm)€60

Thursday and Friday Age 10-12+ (10-2pm)€60

Permission

Yes

I grant 2 Many Dance Moves and their project partners, representatives and employees the right to take audio recording, photographs and film my child during classes + productions

Signature

Signature field is empty.