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Student
First Name
Surname
Gender
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Unspecified
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Has the child any allergies or health conditions? (If not, then please enter "none")
Has the child any mobility restrictions? (If not, then please enter "none")
Is there any other information regarding your little one, that we should be aware of? (If not, then please enter "none")
I give permission to DCDC, to take photographs/videos of the child and use them in (but not limited to) their printed and online publicity, social media, and press releases.
Please Choose
Yes
No
None
Customer
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Surname
Email
Password
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Do you, yourself, have any allergies or health conditions? (If not, then please enter "none")
Do you, yourself, have any mobility restrictions? (If not, then please enter "none")
Is there any other information regarding you, yourself, that we should be aware of? (If not, then please enter "none")
Relationship to child
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Mummy
Other
Family Friend
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Daddy
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How did you hear about Twinkle toes?
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Age
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81+
65-80
51-65
36-50
18-35
None
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