ONE TIME REGISTRATION FOR OUR
DROP IN MUSIC AND MOVEMENT CLASS

Confetti Dance

Child's First name*

Child's Last name*

Birthday

Day

Month

Year

Medical Conditions

Caregiver's Full Name*

Email*

Phone

Photo Consent Given*

YES

NO

How did you find out about Confetti Dance?*

Google Seach

Facebook

Instagram

Signage

Friends/Family

Childcare or Kindy

Community Centre

Website

Other

Please confirm the location you are registering for*

Mitchell Park Monday AM

Mitchell Park Monday PM

Mitchell Park Tuesday PM

Seaford Thursday

Westbourne Park Friday

Yes, I would love to get class updates and news from Confetti Dance.

Classes in Mitchell Park, Westbourne Park, Woodcroft

AND NOW SEAFORD

0421 980 590

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