MadKat Dance Co – Register Your Interest Form About You Question Title * 1. Full Name Question Title * 2. Email Address Question Title * 3. Phone Number Question Title * 4. Age: Question Title * 5. Postcode: Question Title * 6. Gender Female Male Non-binary Prefer not to say Other Question Title * 7. Parent/Guardian Name (if under 18): Question Title * 8. Parent/Guardian Phone: Class Interest Question Title * 9. Which class styles are you interested in? (Select one or more) MadKat Connections (Disability Program) Jazz Lyrical Zumba Adult Dance Tiny Kats Naughty Girl Fitness Tap Ballet Hip Hop Mat Pilates Singing Preferred Class Days Question Title * 10. (Select one or more) Tuesday Wednesday Thursday Friday Saturday Holiday Availability Question Title * 11. Would you be happy to attend classes throughout the school holiday period? Yes No Maybe Additional Details Question Title * 12. Previous dance or fitness experience (if any): Question Title * 13. How did you hear about MadKat Dance Co? Social Media Friend/Family Other Question Title * 14. Any other comments or preferences: Consent Question Title * 15. By submitting this form, I consent to being contacted by MadKat Dance Co about upcoming classes, timetables, and events. I agree Done