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Signature Dance

Class Registration

Customer Details (Account Holder)


Student Details

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Customer Details

First name
Last name
Address 1
Address 2
Mobile #2

Terms & Conditions

I hereby give Signature Dance permission to use any still and/or moving image being video footage, photographs and/or frames depicting the student named above, whilst performing with Signature Dance for any of the following uses: advertisements, marketing, leaflets, or any other use such as for training, educational or publicity purposes or use on our website.

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Order Details

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