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) Submit Δ Payment details for enrolment, please add a payment reference of Childs Initial, Full Surname and the word ‘enrolment’ (e.g. eturnerenrolment) – Bank – BarclaysName – E J TurnerSort Code – 04-06-05Account Number – 16525723 Share this:TwitterFacebookLike this:Like Loading...