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Child's Last name
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Child's Date of Birth
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Hospitalized in the last 12 months?
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No
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Medical condition, illness, or injury?
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Child's Gender
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Child's Pronouns
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Parent/ Guardian Name
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Relationship to child
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Parent/ Gurdian Email
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Address
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Parent/ Gaurdian Phone Number
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Which program are you enrolling your child into?
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What other TYPES of performing arts would your child be interested in? List as many as you like.
Name of person completing this form
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I have read and agree to Terms and Conditions available at https://www.typetalent.com.au/class-terms-conditions
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