Wufoo

Child no. 1 Details:
Child's Name * First Last
Date of Birth * DD / MM / YYYY
Allergies / Special Health Considerations
With other kids, this child is: *
shy sensitive confident bossy caring easy-going

Please choose the most applicable word. This information will help us choose a suitable 'buddy' for your child.
Child no. 1 Workshop Choices:

Tick all applicable choices.
Register for BOUNCE (ages 5-6)
Jan 19th ONLY ...$50 Jan 20th ONLY... $50 Jan 19th & 20th... $90

Choose one option only please.

Your child will spend the day doing different things, from hip hop to imaginative dance to drama to craft.
Register for JUMP (ages 7-10)
Jan 19th ONLY ...$50 Jan 20th ONLY... $50 Jan 19th & 20th... $90

Choose one option only please.

Your child will spend the day doing different things, from hip hop to imaginative dance to drama to craft.
Register for EXCEL (ages 8-13)
Jan 23rd ONLY ...$55

For the young dancer wanting to widen their experience... We will do different dance styles, fitness, flexibility, and creativity exercises.
EXCEL participants only:
No dance training 1-2 years dance training 3+ years dance training

This information will helpus to pitch the classes at the right level.
Child no. 2 Details:
Child's Name First Last
Date of Birth DD / MM / YYYY
Allergies / Special Health Considerations
With other kids, this child is:
shy sensitive confident bossy caring easy-going

Please choose the most applicable word. This information will help us choose a suitable 'buddy' for your child.
Child no. 2 Workshop Choices:

Tick all applicable choices.
Register for BOUNCE (ages 5-6)
Jan 19th ONLY ...$50 Jan 20th ONLY... $50 Jan 19th & 20th... $90

Choose one option only please.

Your child will spend the day doing different things, from hip hop to imaginative dance to drama to craft.
Register for JUMP (ages 7-10)
Jan 19th ONLY ...$50 Jan 20th ONLY... $50 Jan 19th & 20th... $90

Choose one option only please.

Your child will spend the day doing different things, from hip hop to imaginative dance to drama to craft.
Register for EXCEL (ages 8-13)
Jan 23rd ONLY ...$55

For the young dancer wanting to widen their experience... We will do different dance styles, fitness, flexibility, and creativity exercises.
EXCEL participants only:
No dance training 1-2 years dance training 3+ years dance training

This information will helpus to pitch the classes at the right level.
Child no. 3 Details:
Child's Name First Last
Date of Birth DD / MM / YYYY
Allergies / Special Health Considerations
With other kids, this child is:
shy sensitive confident bossy caring easy-going

Please choose the most applicable word. This information will help us choose a suitable 'buddy' for your child.
Child no. 3 Workshop Choices:

Tick all applicable choices.
Register for BOUNCE (ages 5-6)
Jan 19th ONLY ...$50 Jan 20th ONLY... $50 Jan 19th & 20th... $90

Choose one option only please.

Your child will spend the day doing different things, from hip hop to imaginative dance to drama to craft.
Register for JUMP (ages 7-10)
Jan 19th ONLY ...$50 Jan 20th ONLY... $50 Jan 19th & 20th... $90

Choose one option only please.

Your child will spend the day doing different things, from hip hop to imaginative dance to drama to craft.
Register for EXCEL (ages 8-13)
Jan 23rd ONLY ...$55

For the young dancer wanting to widen their experience... We will do different dance styles, fitness, flexibility, and creativity exercises.
EXCEL participants only:
No dance training 1-2 years dance training 3+ years dance training

This information will helpus to pitch the classes at the right level.
Parent / Guardian Details:
Name First Last
Phone
Email
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Emergency Contact Details:

Someone other than YOU, in case of emergency and in case we can't get hold of you.
Name First Last
Phone
Relationship
PLEASE NOTE: Oasis Movement Academy is covered by Public Liability Insurance. While we will take ALL DUE CARE and treat your precious cargo with the utmost diligence, Oasis Movement Academy, its staff, and volunteers, do not take any responsibility for any illness, injury to persons or loss or damage to belongings while in our care.

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Wufoo

Child no. 1 Details:

Child no. 1 Workshop Choices:

Child no. 2 Details:

Child no. 2 Workshop Choices:

Child no. 3 Details:

Child no. 3 Workshop Choices:

Parent / Guardian Details:

Emergency Contact Details: