This registration form is for online Children and Young People's programme

Please complete this registration form for EACH participant of the Young People's Programme

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* 1. Name of child/young person participating in the programme

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* 2. Name and contact details of child/young person's parent/carer

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* 3. Date of birth of child/young person participating in the programme

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* 4. Gender of child/young person participating in the programme?

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* 5. Has the child/young person participating in the programme ever taken part in any dance classes before?

The following questions are aimed at the child/young person participating in the programme

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* 6. Do you think our sessions will make you feel....

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* 7. Do you think you will enjoy our sessions?

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* 8. On a scale of 1 - 5 with 1 being the lowest and 5 being the highest, how would you rate your confidence?

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* 9. Would you consider being part of a young person's forum that helps us decided how our sessions are delivered?

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* 10. Which race/ethnicity best describes you? (Please choose only one.)

0 of 10 answered
 

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