CNY Workshops Children Online Application - Twinkle Dance Company : Twinkle Dance Company

Student Information

Student's Full Name *

Gender *

Male

Female

Date of Birth *

Emergency Contact Information

1st Contact's Name *

Email Address *

Contact Number *

2nd Contact's Name *

Email Address *

Contact Number *

Contact Information Privacy

I do not wish to receive non-workshop communication and marketing materials.

Contact information will also be stored for non-workshop communication and marketing purposes. Check below if you do not wish to receive non-workshop communication and marketing materials.

Enrolment

Registration Fee - $700/Class (Showcase Performers’ Discounted Rate: $580)

Registration Fee *

Showcase's Performer $580

Non-Showcase's Performer $700

Payment Option *

Cash/ EPS at Twinkle Dance Company

Cheque payable to Twinkle Dance Company Limited

Bank Transfer to HSBC a/c: 848-561908-838 (Please upload transaction code/ receipt copy below.)

File Upload

Required upload size: 516MB

Medical Information

Does the student/attendee have any allergies, medical conditions and physical restrictions or individual needs? *

Yes

No

If “Yes”, please specify below

Terms & Conditions *

Yes I have read and understood the Terms and Conditions.

Signature *

Clear

Notice:

Application Form

Student Information

Emergency Contact Information

Enrolment

Registration Fee - $700/Class (Showcase Performers’ Discounted Rate: $580)

Medical Information