Online Application Form

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Parent/Guardian Full Name

Child's Full Name

Home Adress

Child's Date of Birth

Mobile

Child's Health Concerns?

Have your child attended any dance classes before?

What is your goal?

Hobby (just for fun and health support)

Profi (Dance is our priority)

Photos/videos taken during the class and performance: I give my permission for my child being photographed or videotaped during the dance classes and Performances on stage for records on social media (such as Performing Arts In‘Rhythm Facebook page, and PERFORMING ARTS CENTRE IN'RHYTHM YouTube channel, website gallery www.inrhythmpac.co.uk | Please tick the box:

YES

Thanks for submitting!

We will get in touch with you as soon as possible.

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