Outline Dance Centre

R500 Registration fee to be paid prior to class attendance

Parents to please ensure that Principal Verné's cellphone number (083 313 9555) is saved on their celllphones in order to receive whatsapp broadcast messages

Parent/Guardian Details

First Name *

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Surname *

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Mobile No *

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E-mail address *

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Location Details

Physical Address 1

Physical Address 2

City/Town

Province

Postal Code

Billing Details

Preferred Billing *

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Other Information

Family Doctor*

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Family Doctor Tel*

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Student Details

Student 1

The below student is already registered

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First Name *

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Surname *

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Gender *

ID No (optional)

Please enter a valid ID number that corresponds with the Date of Birth below

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Date of Birth *

Styles (optional)

Contemporary

Jazz

Modern

Please select one or more style

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