Jazz 2 recital filming day — REGISTRATION

You can now register for classes using our online registration form, please fill in all the details and we’ll be in touch!

Registration Form 2023/2024

Returning Student

New Student

Student Name

First Name

Last Name

Date Of Birth

MM

DD

YYYY

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Contact Number

(###)

###

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Primary Email

Medical Conditions (please list any allergies/injuries ongoing medical conditions & describe)

Parent/Guardian 1

First Name

Last Name

Phone

(###)

###

####

Email

Parent/Guardian 2

First Name

Last Name

Phone

(###)

###

####

Email

Emergency Contact (not parent/guardian)

First Name

Last Name

Relationship to Student

Phone

(###)

###

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How did you hear about us?

Class Participation

Classes

Please add class names

Pay for classes