Child's Name *

First Name

Last Name

Date of birth *

MM

DD

YYYY

Clubs attending *

(please select all clubs your child would like to attend with us, pay close to attention to the location stated)

WEBBS - Monday - Musical Theatre

WEBBS - Monday - Extra Street Dance

WEBBS - Tuesday - Ballet

WEBBS - Tuesday - Ballet/Musical theatre (reception)

WEBBS - Wednesday - Street Dance

WEBBS - Thursday - Drama

WEBBS - Friday - Reception dance

METEOR - Monday - Dance

METEOR - Tuesday - Musical Theatre

METEOR - Thursday - Ballet

WIX - Wednesday - Street Dance

WIX - Thursday - Musical Theatre

WIX - Friday - Ballet

Your Name *

First Name

Last Name

Your telephone number *

Country

(###)

###

####

Extra contact details *

First Name

Last Name

Contact telephone number *

Country

(###)

###

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