ENROL AT JSTEP DANCE

Thankyou for choosing JStep Dance, Please fill out the following form to register & enrol for 2021!

Students Full Name

Parents Full Name

Date of Birth

Current Age

Email Address

Phone

Emergency Contact Name

Emergency Contact Phone Number

m. 0417 567 798 or 0433 063 056

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STAY UP TO DATE WITH JSTEP DANCE

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