registration form Please fill in the following registration form, be sure to hit submit once the form is complete. Registration Form PARENTS NAME ADDRESS PUPILS NAME * D.O.B MOBILE EMAIL EMERGENCY CONTACT ANY MEDICAL CONDITIONS WE NEED TO BE AWARE OF? CLASSES TAKEN ON REGISTRATION INCLUDING DAY AND TIME DATE OF FREE TRIAL WHERE DID YOU HEAR ABOUT US? PHOTO CONSENT YES Do you consent us to take photos for use on our social media? JAYKAYS RESPONSIBILITY YES I understand that Jaykays Dance Company will only be responsible for my child during the times of the session (s) TERMS & CONDITIONS YES I have read and agree to the terms and conditions SIGN - TYPE YOUR NAME HERE DATE Submit
