SEPTEMBER 2018 - FEBRUARI 2019
Children & Teen

UURROOSTERS

Name of the parent/legal guardian *

Name of the parent/legal guardian

First Name

Last Name

Phone Number *

Email Address *

Name of legal guardian/parent (2)

First Name

Last Name

Phone Number

Name of the child

First Name

Last Name

Birthdate of the child *

Birthdate of the child

MM

DD

YYYY

Age group of the child/teenager *

6 - 8 years

9 - 12 years

Address

Street *

House Number *

Zip *

City *

Country *

Choose your dance class *

Klassiek Ballet (6,7,8 years)

Klassiek Ballet (9,10,11 years)

Musical kids (7 - 12 years)

Choose the day of your class *

Wednesday

How did you get to know about Shoonya Dance? *

Social Media

Summer Festivals

Flyers

Newsletter

Through Friends

Existing Student

Other

Please mention the festival/social media channel or other media channel that brought you here:

Privacy Policy *

You can read it at www.shoonyadance.com/privacy-policy

I agree that I have read and agree to the terms of the privacy policy on this website.

I would like to receive the monthly newsletter from Shoonya Dance Centre

Yes

No

SEPTEMBER 2018 - FEBRUARI 2019 Children & Teen

UURROOSTERS

SEPTEMBER 2018 - FEBRUARI 2019
Children & Teen