Student Registration Form

Please provide us with the information of the primary account holder. We will send all account notifications to this person. This person should be a responsible person over 16 years of age. By completing this form you give permission to The Regency Dance Centre Ltd to hold and process your personal data. Please see our GDPR Policy for further details. 

Please enter your first name
Please enter your surname.
A valid email is required for confirmation email to be sent.
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Please enter your phone number and only use numeric characters
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Student Details
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Please let us know if there are any health conditions or problems that we need to be aware of.
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