Parent/Guardian Full name

Childs Full name

Email Address

Phone Number

Student's DOB

Male/Female Male/Female Male Female

I'm Interested in.... I'm Interested in.... Dance With Me (2-3yrs) Twinkle Toes & Tiny Tots (3-4yrs) Junior Stars (5-6 yrs) Junior School (7-9yrs) Intermediate School (10-12yrs) Senior School (13yrs +) Adult Classes Danceability (special needs) Ballet Tap Jazz Acro Dance Musical Theatre Hip Hop Contemporary & Lyrical

Things we might need to know about student (ie Medical conditions)

Where are the last 3 places that you've seen us? Where are the last 3 places that you've seen us? Website Google Family /Friends Instagram School Other Facebook