Studio Open Day Saturday 5th September
Please complete
Parent/Guardian Name
*
First Name
Last Name
Dancer Name
*
First Name
Last Name
Dancer Age on 1st September
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Which branch would you like to attend?
Derby
Burton
Open Day class you would like to join? Derby Studio - Saturday 6th September
9am Dinky Dancers Age 2-5 years
10.30am Junior Ballet, modern and tap Age 6-10 years
11.30am Acro class Beginners
12.30pm Inter Ballet, modern and tap Age 11-14 years
Would you like to book an appointment to talk to a staff member regarding classes? Please select most suited time: (we may have to offer an an alternative appointment time if fully booked)
10.30am
11.00am
11.30am
12 noon
12.30pm
Open Day class you would like to join? Burton Studio - Saturday 6th September
9.00am Dinky Dancers Age 2-5 years
10.45am Junior Ballet, modern and tap Age 6-10 years
11.15am Acro class Beginners
12.45pm Inter Ballet, Tap and Modern Age 11-14 years
Classes that you are interested in attending in September :
Parent/Guardian Signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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