Registration Form


Please fill in if you wish to register for any classes.




Student Name

full name

Male/Female

Date of Birth

Required Classes

Parents Name

full name

Address

Inc Postcode

Home Phone Number

Mobile Phone Number

Email

a valid email

Does your child have any special requirements or needs?

Emergency Contact Name and Number

Happy for Select Performing Arts to use any pics or vidoes of your child for promo?

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