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Enrolment Form

Parent/Guardian First Name*

Parent/Guardian Last Name*

Child's Name*

Child's DOB*

Day

Month

Year

Address*

Email Address*

Phone Number

Has your child got any allergies or special needs/requirements we need to be aware of?*

Classes your child is interested in taking?

Ballet

Modern

Tap

Acrobatic Arts

Musical Theatre

Other

Do you consent for your child's picture to be used on the Dance Schools website or social media?

Thank you for filling out our enrolmet form, we look forward to welcoming you to Tishian Adelina Dance Academy!

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