Dance First Trial Class Booking Form
Adult's Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Child's Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Child's Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Parent / Caregiver's Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Contact Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Does your child suffer from any allergies? Please list below {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
Adult: Please select up to 3 classes you would like to trial. We will email you confirming availability in your selected class(es) and your trial date.
Child: Please select below what class(es) you would like your child to trial(maximum of 2 trials). We will then email you to confirm availability of your selection and your trial date.
How did you hear about us? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
If you have any comments, suggestions or queries please let us know: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }