EmailMe Form - DMTOTS Centurion West Enrolment Form 2021

Details of Toddler
Date started *
DD / MM / YYYY
Child's Name *
First Last
Gender *
Girl
Boy
Date of birth *
DD / MM / YYYY
Age *
School *
Other School
Clothing size *
1-2yrs
2-3yrs
3-4yrs
Parent Requires Dance Gear (APPLICABLE FOR DELUXE OPTION ONLY)
Yes
No
If Yes Parent Shirt Size
Enrolment Option *
STANDARD – TODDLER SHIRT, BAG & BOTTLE
CLASS PARTICIPATING IN
(Please tick)
Toddler Only
Toddler and Caregiver
Payment Option
Monthly
Allergies if any
1 / 3

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