EmailMe Form - Steptacular - Student Booking Form

Student Name *
Student Date of Birth *
DD / MM / YYYY
Parent/Gaurdian Name *
Primary Phone *
Alt. Phone
Email Address *
I give permission to take video and photos of child for promotion of Steptacular Performing Arts *
Yes
No
Policy Agreement & Consent
I agree to enroll my child in Steptacular Stage School, to ensure they attend all classes and to comply with the policy agreement. *
Yes
I consent to allowing Steptacular to store the information provided in this application form, and use it to contact me. *
Yes