Excelsior Recreational Activities (ERA)

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Dance Class Application Form

This form is to apply for Dance lessons provided at school and organised by the ERA Committee.
Please complete the whole form.
The ERA coordinator will advise parents of the outcome of the application(s).
If accepted, more information will be provided, including class and payment details.

Student's Details

First Name *

Last Name *

Date of Birth *

This information is required if you plan to redeem Active Kids or Creative Kids vouchers for ERA dance.

YYYY

Female *

Female

Male

Prefer not to say

Other:

Grade in 2024 *

Currently there are no ERA classes available for children attending Kindergarten class.

Does your child have any allergies or health concerns? *

YES

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