Go Theatre and Dance Sign Up Form
Thank you for your interest in Go! This form will capture all the information we will need to enrol a new student.
Student Details
Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Please let us know about any relevant health conditions for this student:
Classes of Interest
Which Dance Classes are you interested in?
Ballet (Primary)
Ballet (Grade 1 & 2)
Ballet (Grade 2 & 3)
Ballet (Grade 5 & 6 )
Ballet (Intermediate/Advanced 1 & Pointe)
Ballet (Grade 5+)
Tap (Primary)
Tap (Grade 1)
Tap (Grade 2)
Tap (Grade 3)
Tap (Grade 4/5)
Tap (Inter/Advanced)
Modern (Primary/Grade 1)
Modern (Grade 2)
Modern (Grade 3)
Modern (Grade 5 & 6)
Modern (Grade 6)
Modern (Inter/Adv)
Contemporary (11yrs+)
Contemporary (Inter/Found.)
Which Theatre Classes are you interested in?
Go Theatre - Ages 6-18, Fridays 4.30pm-7.30pm (Pontprennau)
Go Theatre - Ages 6-18, Saturdays 10am-1pm (Rumney)
To help us assign this student to the most appropriate class please let us know of any relevant previous training or experience in either dance or theatre.
Parent / Guardian Details
Please provide your information so that we can set you up as a 'Parent' with Go.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
County
Post Code
Phone Number
*
Mobile or Landline
Emergency Contact Details
Please provide the full name and contact details for an emergency contact
If you have a discount or promotional code please enter it below:
Before you go... How did you hear about Go?
Other
Google/Search Engine
Website
Word of Mouth
Flyer / Advertising
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Other
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