Easter Dance Holiday Week Registration Form

Antshillvania Easter Dance Week

11th-15th April 2022
St Mark’s Hall, 28 St Mark’s Road, Mitcham, CR4 2LF

Monday-Thursday. 9.30am - 4:00pm

Friday 9.30am – 2.30pm

Final performance on Fri 15th @ 1.30pm

*Each child will be committed to the whole week*

Calling all children, boys and girls age 6-11 years with no dance previous dance experience required to take part in Antshillvania!

Children will participate in hours of fun and adventure!

Antshillvania is tailored for Key Stage 2 children who are full of energy and enthusiasm - giving them an opportunity to perform and dance with professional dancers during the Easter holidays.

Learning dance movement, technique, choreography as well as set and costume making, the week will culminate in a final performance – Friday 15th April @ 1.30pm – invite parents, grandparents, siblings, friends and neighbours to enjoy the show!

The storyline is based on a Rebellious Ant who seeks and encounters adventures, and in doing so, he learns life’s lessons. Full of fun, creativity, adventure and of course DANCE!!

The cost for this amazing week is £185.

Special offer for Early Birds before Weds 16th March £170.

Places are limited so please register your child by completing our registration form below.

PAYMENTS ARE DUE IN ADVANCE
PLEASE COMPLETE REGISTRATION BY FRIDAY 1ST APRIL 2022
Registration Form

Email: info@novagraceproductions.com
Child's Name

First NameLast Name
Birth Date

DayMonthYear
Gender
Age on 11th April 2022 Type a label
Parent/Guardian

First NameLast Name
E-mail
example@example.com
Mobile Number
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Emergency Contact Person
Relation to child
Phone Number
Any special medical requirements or food allergies we should be aware of?
Consent Form

Please complete the sections below
Photography - Photos taken during the week will be used for course related purposes and may appear on our website or social media pages to promote the week. Please indicate if you do or do not want your child to appear in any photos.

YesNo
Video - we will be making a film of the final performance for our records. Please indicate if you do or do not want your child to appear in the video.

YesNo
Face paint - we may use face paint as part of the costumes for the final performance. Please indicate if you are happy for your child to have this applied.

YesNo
Emergencies - In the event of a medical emergency, every effort will be made to contact the emergency contact person stated above. However, if we are unable to reach that person, your signature below authorises Rosy Nevard (Project Leader) to seek medical treatment for your child. The parent/guardian accepts full financial responsibility for said care.
I hereby waive for myself, my child, heirs, issues and assigns all claims of liability against Rosy Nevard, Nova Grace Productions and their instructors, employees, heirs and assigns.

Clear
We look forward to a full, fun, dancing week!
Nova Grace Productions is a registered charity (No. 1193784) providing dance opportunities, internationally. Our dancers are trained dance professionals with a wealth of dance expertise and teaching experience.

All Nova Grace Productions artists and dancers are Enhanced DBS checked including the photographer. See our website for Safeguarding Policy. (www.novagraceproductions.com)
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Antshillvania Easter Dance Week

Registration Form

Consent Form