Phoenix Associates Registration
Register your dancer, book sessions, provide medical info, and give consent for photography and video.
Dancer’s Full Name
*
First Name
Last Name
Dancer’s Age
*
Dancer’s Date of Birth
*
-
Month
-
Day
Year
Date
Dancer’s Gender
*
Female
Male
Non-binary
Prefer not to say
Other
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian mobile number
*
Book Your Sessions
*
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( X )
19th April
£
45.00
Quantity
1
2
3
4
5
6
7
8
9
10
Standard rate
Supported rate
10th May
£
45.00
Quantity
1
2
3
4
5
6
7
8
9
10
Standard rate
Supported rate
21st June
£
45.00
Quantity
1
2
3
4
5
6
7
8
9
10
Standard rate
Supported rate
26th July
£
45.00
Quantity
1
2
3
4
5
6
7
8
9
10
Standard rate
Supported rate
All four sessions (£15.00 off)
£
165.00
HOODIE WHITE
£
46.00
Size
7-8
9-11
12-13
14-15
S
M
L
XL
T-SHIRT WHITE
£
18.00
Size
7-8
9-11
12-13
14-15
S
M
L
XL
HOODIE GREY
£
46.00
Size
7-8
9-11
12-13
14-15
S
M
L
XL
T-SHIRT GREY
£
18.00
Size
7-8
9-11
12-13
14-15
S
M
L
XL
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Medical Information
Consent for Photography and Video
*
Yes, I consent to photography and video
No, I do not consent
Register and Pay
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