Enrolment Form

STUDENT DETAILS – Name(s)(required)

Date of Birth(required)

Current School and Year

Previous Dance Experience (if any)(required)

Does your child have any Allergies or Illnesses?(required) Yes

No

If yes please specify

Are Medications required or do you have a Medical Action Plan in place?(required)

PARENT OR GUARDIAN /EMERGENCY CONTACT INFORMATION – Name(required)

Relation to Student Mother

Father

Grandparent

Guardian

Other

Phone(required)

Email(required)

Address(required)

Message if needed

Class Selection- Please specify class/dance style, day and level. (required)

Number of students you wish to enrol (fees displayed and paid through bank transfer)(required) 1 Child – £20

2 Chidren – £35

3 Children – £45

4 + Children – £15 per child

Terms and Conditions(required) I understand there is a fee as stated above for enrolment and paid via bank transfer (details available via store page or request)

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