DCK Virtual Classes - Registration Form
Welcome to our online registration form for this half of the term:
20th April 2020 - 23rd May 2020 (THIS IS FIVE WEEKS OF CLASSES)
Classes will be conducted online through Zoom.

Limited spaces available, please register now!

To register for our classes, please fill out the below form and make payment:

Direct Transfer to The Dance Centre Limited
Ac No. 00801048881210 I&M Bank Karen Sort Code: 570086

Mpesa: Pay Bill - Business No. 542647 Acc. No. STUDENT First and Last Name

All payments must be made by 12:00 pm on Monday, 4th May. Dance Center Kenya retains the right to exclude students for non-payment of fees.

For more information: 0796370937 or email: info@dancecentre.co.ke

We hope to see you soon on Zoom!
Email address *
Student's First Name *
Your answer
Student's Surname *
Your answer
Which (academic) school does the Student attend?
Your answer
Date of Birth of the Student *
MM
/
DD
/
YYYY
Parent's/Guardian's First Name *
Your answer
Parent's/Guardian's Surname *
Your answer
Parent's Mobile Phone Number *
Your answer
Monday Classes
Please tick the classes taken
Tuesday Classes
Please tick the classes taken
Wednesday Classes
Please tick the classes taken
Thursday Classes
Please tick the classes taken
Friday Classes
Please tick the classes taken
Saturday Classes
Please tick the classes taken
Total Amount Class Fees in KES *
Your answer
Please Note
Direct Transfer to The Dance Centre Limited
Ac No. 00801048881210 I&M Bank Karen Sort Code: 570086

Mpesa: Pay Bill - Business No. 542647 Acc. No. STUDENT First and Last Name

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All payments must be made by 12:00 pm on Monday, 4th May. Dance Center Kenya retains the right to exclude students for non-payment of fees.

It is HIGHLY RECOMMENDED for ballet students Grade 1 and up to take class twice a week

Students will only be accepted into the next term if all payments arising from the previous term have been cleared in full

Fees capped at KES 17,500 per child per term

Paid fees are not refundable
Disclaimer *
By ticking the below box I confirm that I have read and understood the registration and fee payment methods and I give consent for my child to join the DCK Virtual classes. I understand that DCK can not be held liable to me/my child in respect of any personal injury (including without limitation serious injury or death) that me/my child may suffer or sustain directly or indirectly as a result of attending the virtual dance classes. Nor will DCK be liable to me/my child in respect of any other losses arising as a result of any such personal injury. Please ensure the space is safe and especially for the younger ones take away any potential distractive toys etc.
Required
Mode of Payment
Date of Payment
MM
/
DD
/
YYYY
Mpesa Confirmation No (if applicable)
Your answer
A copy of your responses will be emailed to the address you provided.
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