kindy kids ENROLMENT FORM | Encore Performing Ar

Student Full Name

Student DOB

Parent/Guardian Name

Contact Number

Email

Address

Studio Location

Maroochydore Monday Morning

Buderim Tuesday Morning

Caloundra Tuesday Afternoon

Kawana Thursday Morning

Caloundra Friday Morning

Encore Age Group

Classes Selected:

Does your dancer have any medical conditions we need to be aware of?

How did you hear about Encore

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Referral

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