CONFIRM MY PLACE!
Summer School with East Sussex Dance
Name of Child
Date of Birth
Name of Emergency Contact
Please enter a valid phone number.
Any Allergies or Medical Conditions we should be aware of?
Which Course would you like to book?
Patcham : 2nd/3rd/4th August
Lewes : 9th/10th/11th August
Payment of Deposit : Date and Reference
£20 Booking Deposit to "East Sussex Dance" Sort code 090127 Acc 35859530
I have read and accept East Sussex Dance's Policies for Children's Dance Classes
I give permission for my child to be included in photographs of this year's Summer School which may be used in print and online to promote future events
I give permission for my child to be included in videos of this year's Summer School which may be used online to promote future events
I do not give permission for my child to be included in photos or videos taken at Summer School
Where did you hear about our Dance Classes?
Word of Mouth
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