Registration
First Name
Family Name
Date of Birth (YYYY-MM-DD)
Email
Tel (Home)
Tel (Mobile)
Address
Current Student: YesNo
Parent / Guardian name and contact details IF LESS THAN 18 years old
Name
Relation
Tel (Home)
Tel (Mobile)
CLASS ENROLLING FOR
Class Name
Day
Hours
I have read and agree to abide by the studio policies of Rhythmic Fitness Ltd. I also understand that dance and other forms of physical exercise involves twisting and turning and that Rhythmic Fitness is not responsible for any injuries that may occur.
Self PARENT/GUARDIAN
I give my consent to publish my photographs on the marketing material including website, brochures, advertisements, and otherpublications
Yes No
Dancing Gal Dancing Gal Dancing Gal Dancing Gal Dancing Gal Dancing Gal Dancing Gal