Praise Registration (Student) Form — Praise Academy Of Dance
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Praise Registration (Student) Form
Praise Summer School 2008 Registration
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Praise Registration (Student) Form
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Praise Registration (Student) Form
Fill out this form to register as a student of Praise Academy of Dance.
First name
(Required)
First name of Registrant
Last name
(Required)
Last name of registrant
Email Address
(Required)
An email address that can be used to communicate with the registrant, or the registrant's parent or guardian.
Date of Birth
Enter the date of birth in the format year/month/day (e.g. 1989/03/30)
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Marital Status
(Required)
Please indicate the marital status of the registrant.
married
single
Home Address
(Required)
Home Phone
Cell Phone
Contact Person in case of Emergency
(Required)
Full name of a person to contact in case of emergency
Emergency Contact Person's Phone
(Required)
Phone number of registrant's emergency contact person
Contact person's relationship
(Required)
indicate how the contact person is related to the registrant.
mother
father
sibling
guardian
other relative
other
Specify other relationship
If you chose "other" or "other relative" above, specify the relationship (e.g. family friend).
Health issues or concerns
indicate if you have issues related to asthma, bad knees, arthritis etc...
Health - Allergies to medication
Church: Church Name
(Required)
The congregation/assembly with which the registrant is associated.
Church: Pastor or Overseer
(Required)
Add more than one name if applicable. (For example, in the case of local church which has no pastor but is governed by a group of overseers/elders.) Place each name on a separate line.
Church: Address
(Required)
enter the address of the church that the registrant attends.
Church: Phone
(Required)
enter the phone number of the church which the registrant attends
verification
(Required)
Please enter the letters and numbers you see displayed. This helps us to verify that you are a human and not a robot trying to spam us.
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