Easter Cinderella Theater Workshops Children Online Application - Twinkle Dance Company : Twinkle Dance Company

Student Information

Family Name *

Given Name *

Gender *

Male

Female

Date of Birth *

Parent/Guardian Information

Family Name *

Given Name *

HKID/Passport # *

Relationship to Student *

Mobile Telephone Number *

Home Telephone Number

Email Address *

Home Address *

Emergency Contact

Family Name *

Given Name *

Mobile Telephone Number *

Relationship to Student *

Enrollment

Workshops Enrollment *

Apr 3, Causeway Bay, 11:15-12:15pm (Age 3-5)

Apr 6, Central, 10:00-11:00am (Age 3-5)

Apr 6, Central, 11:00-12:00pm (Age 6-10)

Registration Fee

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

Maximum 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

New Student's Identification Document

New students are required to provide one of the document below.

Hong Kong Identity Card

Birth Certificate

Passport

File Upload

Maximum upload size: 516MB

Personal Data and Communication

Please inform Twinkle Dance Company of any changes to the above personal data. Twinkle Dance Company would like to hold your personal data to provide you with information on class programmes, exams, shows, newsletters and promotions relating to the the products and services.

Newsletter Signup *

Yes I would like to receive communications from Twinkle Dance Company, which includes information on class programmes, exams, shows, newsletters and promotions relating to products and services and I understand some communications may have a direct marketing component and/or include information of the type identified above;

No I do not wish to receive communications from Twinkle Dance Company and understand that I could be missing out on important information including exams, shows and class programmes;

Terms & Conditions *

Yes I have read and understood the Terms and Conditions.

Signature *

Clear

NOTICE:

Application Form

Student Information

Parent/Guardian Information

Emergency Contact

Enrollment

Registration Fee

Medical Information

New Student's Identification Document

Personal Data and Communication