ENROLMENT

Students Name *
Name of Parent Guardian *
Address *
Telephone *
Mobile *
Email Address *
Age of Pupil *
DOB *
Class enrolling for *
Day *
Time *
Previous dance experience *
Any medical conditions of whic the teacher should be aware *
Note: Please understand that while I will take every possible care to prevent injury to your child I will not be liable should an accident occur. Natasha Insley (Principal of Natasha Hodson Dance Academy) *	Yes I understand and accept this.
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NATASHA HODSON DANCE ACADEMY