Shire Elite January Dance Clinics Booking Form
$10 per session!

Please complete a new booking form for each athlete.

For any questions please do not hesitate to contact us!
P: 1800 744 733

Email address *
Full name of athlete you are booking in: *
Your answer
Age of athlete you are booking in: *
Your answer
Emergency contact name & phone number: *
Your answer
Does this athlete have any allergies or other medical concerns that we should be aware of?
If yes, please provide details
Your answer
Which session's would you like to book in:
Tuesday 8th
Tuesday 15th
4 - 4:45pm: Dance Technique Headstart
4:45 - 5:30pm: Dance - Try it all!
5:30 - 6:15pm: Advanced Hip Hop
A copy of your responses will be emailed to the address you provided.
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