September 2022 @ The Peelo School of Dance

September 2022

Guardian/Parent Name: *

Email *

Phone *

Childs Name: *

Date Of Birth *

Class attending in school in September 2022: *

Peelo Class: *

MultiSelect, please hold down cntrl key to select other options

Peelo Branch Attending: *

Allergies/Injuries/Conditions

Preferred Class Day/Time:

Let us know if you have any additional comments

I agree to allow Photographs to be taken and shared on Social Media:

Yes

If you are human, leave this field blank.