Easter Workshop Registration Form 22/04/17
Once you have completed this registration form, please make payment within 7 days to secure your child' place and we will contact you to confirm a place in your chosen workshop. If no payment is received within 7 days of receiving the registration form we cannot guarantee your child's place in the class.
Please ensure you complete all sections as this helps us to secure a booking and makes things run smoothly on the day.
Email address *
Kelly's Dance Academy
Are you a new or existing student?
Which workshop are you enrolling for: *
Child's Full Name: *
Your answer
Child's Date of Birth: *
Your answer
Experience of Dancing: *
Any additional needs / allergies: *
Your answer
Parent name / Guardian Name: *
Your answer
Phone number: *
Your answer
I consent to my child being photographed or being part of a video that may be used for marketing / advertising purposes. Please note no child will be named, face photographs are kept to a minimum and all material is used for the dance school purposes only. *
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