Mini Ballerinas Program
Mount Hawthorn Studio
Child's Name
*
First Name
Last Name
Parent/Guardian's Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Phone Number
*
Please enter a valid phone number.
Format: 000 000 0000.
Email
*
example@example.com
Please select the appropriate class and free trial date for your child
*
Little Leapers / Dancing Dots (3,4 years): 3.30-4.15pm
Aspiring Ballerinas (5-8 years) 4.15-5.15pm
Little Leapers / Dancing Dots (3,4 years): 3.30-4.15pm
Aspiring Ballerinas (5-8 years) 4.15-5.15pm
Any further questions / comments
Submit
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