Dance Registration Form

Class registration

Book your place on your chosen classes
Child's Name*

First NameLast Name
Child's DOB

DayMonthYear
Child’s age*
Parent/Guardian

First NameLast Name
E-mail*
Phone Number*

Mobile 1Mobile 2
Address

Street Address

Street Address Line 2

City

Postcode
Select your age group*

2-4yrs4.5 - 6yrs7-9yrs10yrs and over (No need to select any classes below. We will contact you with suitable classes for your age group)
2-4yrs - Select your days. You can pick more than one

Mondays at Wymering Church, CoshamThursdays at Portchester Community CentreSaturdays at Wymering Church, Cosham
4.5 - 6yrs - Select your days. You can pick more than one

Monday at Wymering - Tap & ModernWednesday at Wymering - Ballet & StretchingThursday at Portchester Community Centre - Ballet & StretchingThursday at Portchester Community Centre - Tap & ModernSaturdays at Wymering - Tap & Modern
7-9yrs - select your days. You can pick more than one

Mondays at WymeringWednesdays at WymeringThursdays at PortchesterSaturdays at Wymering
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Class registration