JRDA Live 2024 Registration and Payment

JRDA Live 2024 Registration & Payment.

Event Timing: October 20, 2024 Event Address: The Beck Theatre, UB3 2UE
Reserve your place - fill and pay today!
Class
Class*
Student Name*

First NameLast Name
D.O.B*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityBorough of Residence

Postcode
Phone Number*
E-mail*
example@example.com
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*
Name of parent/guardian picking up child, if different from above

First NameLast Name
Medical/Allergies*
Doctor*
Surgery Address*

Street Address

Street Address Line 2

CityBorough of Residence

Postcode
Surgery Contact Number*
Dietary requirements*

NoneVegetarianOther
Additional Comments

My Products*

JRDA LIVE 2024 REGISTRATION

£80.00 one-time payment

JRDA LIVE 2024 REGISTRATION2 month plan

£40.00 for each month

Total

£0.00

JRDA Live 2024 Registration & Payment.