Phoenix Workshops 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 )
21st June
£45.00
£
45.00
Quantity
1
2
3
4
5
6
7
8
9
10
Standard rate
Supported rate
26th July
£60.00
£
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
Standard rate
Supported rate
HOODIE WHITE
£46.00
£
46.00
Size
7-8
9-11
12-13
14-15
S
M
L
XL
T-SHIRT WHITE
£18.00
£
18.00
Size
7-8
9-11
12-13
14-15
S
M
L
XL
HOODIE GREY
£46.00
£
46.00
Size
7-8
9-11
12-13
14-15
S
M
L
XL
T-SHIRT GREY
£18.00
£
18.00
Size
7-8
9-11
12-13
14-15
S
M
L
XL
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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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