December 11th 2021 Event Registration Form

Step 1 - Student Registration Form for DanceSport Event, December 11th 2021

Please fill out the registration form below to enter your child in our fun event! Remember to purchase your tickets and bring them with you as part of the registration process on the day. Please sign in at the registration desk at 1pm on the day and be ready to commence by 1:30pm.
Student's name

First Name Last Name
Birth Date

Month Day Year
Gender
Student's School
Name of my child's dance partner
Parent's name

First Name Last Name
Parent E-mail
example@example.com
Parent's mobile in case of emergency
Mobile number
Please select the events your child and their partner would like to enter:

Year 5 Cha Cha Cha, Tango, Salsa, Jive Year 6 Cha Cha Cha, Tango, Salsa, Jive
I am aware of any medical conditions of my child and take full responsibility for the management of such conditions and supervision of my child whilst at the event: *

I agree
Permission to publish - Photographs taken at our events are sometimes used for promotional purposes. We may not be able to exclude your child from any photographs taken. Names of students are not identified *

I understand that my child may be photographed during the event and that the image may be used for promotional purposes.
Thank you for entering your child in our event!

We are looking forward to seeing you on the day!
Should be Empty:

Step 1 - Student Registration Form for DanceSport Event, December 11th 2021