Name, surname of the child *

Date of birth *

Educational institution and current grade *

Home address *

Parents / guardians contact information:

Parent-1 name, surname *

Parent-1 phone number *

Parent-1 e-mail *

Parent-2 name, surname *

Parent-2 phone number *

Parent-2 e-mail *

Does your child have any special character traits or psychological peculiarities (hysterical fits, fear, increased emotionality, nervousness) that the teacher should be informed about? *

Does your child have any health issues (allergies from food, perfume, medication, previous traumas or chronic illnesses etc.)? *

Has your child been a part of any interest groups? What type of groups? *

From what resource did you learn about Dance school "Colour Point"? *
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