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Dance Studio Covid 19 Release Form -Form Fill

Section One
Q1

Age of Consent *

Q2

What and With Whom are you learning? *

Q3

I agree to the following:*

Q4

Student's Name in Full*

Given Name

Q5

Student's Name in Full*

Family Name

Q6

Mobile Number *

Q7

Email ID *

Confirmation Email

Q8

Email ID *

example@example.com

Q9

Signature *

Q10

Date

Date of Submission