Free Trial Application
Name of student
First Name
Surname
Age
DOB
Guardian name
First Name
Surname
Telephone
Email
example@example.com
Address
Street Address
Street Address Line 2
Postcode
Choose Class Type
Ballet
Modern / Jazz
Gymanji acro tots
Acro
Tap
Street Crew 6 years +
Teens commercial
Adult Tap
Dancers school year
Pre- school ( Hasn't started school)
year R
Year 1 & 2
Year 3 & 4
Year 5 & 6
Year 7 / 8 / 9
Year 10 & 11
Six form
Have any previous Dance Experience?
yes
no
Other
If Yes what Style and how long
Any Medical Conditions ?
yes
no
Other
If Yes Please state what Medical condition They have
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