Off Centre Dance Co

Student Full Name *

Parent/Guardian Full Name *

Telephone Number (Home)

Telephone Number (Mobile) *

Email Address

Emergency Contact (if Different from Parent)

Emergency Telephone Number (Home)

Emergency Telephone Number (Mobile)

Select your desired workshop

Senior Workshop Junior Workshop

How Did You Hear About Us?

PLEASE NOTE - Once you have submitted your registration form you will automatically be transferred to our payment page to make your registration fee payment. You will also shortly be emailed a copy of your answers.

Thank you for using our Online Registration Form.

All Sales are final. Tickets may not be transferred.

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