REGISTRATION FORM Junior Dance Class Registration FormFill Your Details. we will connect you soon Young Dancer Registration Form Name of Student * Name of Student Name of Student Name of Student Age * Date of Birth * Parent 1 Details * Parent 1 Details Parent 1 Details Parent 1 Details Email * Phone * Parent 2 Details Parent 2 Details Parent 2 Details Parent 2 Details Email Phone Address * Emergency Contact Name * Emergency Contact Name Emergency Contact Name Emergency Contact Name Emergency Contact Number * Has your child taken any style of dance before? If the answer is yes, please explain * Allergies or anything important we need to know * SelectYesNo If yes Please Mention Read and Agree to the Following Details * As a Parent/Guardian, I understand the activities and risks involved in these dance classes. Sargam Dance Limited is not responsible for any lost, stolen, or damaged property. I also recognize that Sargam Dance Limited is not responsible for students when they are outside the classroom. Go through and Agree. * Agree Submit If you are human, leave this field blank. Back CONTACT INFO Email Usinfo@sargamdance.com Call Us07342536274, 07424806811 Follow Us Facebook Instagram
