New Customer Registration Form

New Customer Registration Form

DUO DANCE STUDIOS ARBORFIELD
Customer Details:
Primary Contact Parent/Guardian Name*

First NameLast Name
Primary Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Parent/Guardian Name

First NameLast Name
Secondary Phone Number

Area CodePhone Number
Student Name*

First NameLast Name
Student Date of Birth*

MonthDayYear
Date
Does You Child Have Allergies or Medical conditions? If Yes Please specify below*

YesNo
Please specify any allergies or medical conditions that Teachers need to be aware of in text box below.
Address*

Street Address and House Number/Name

Street Address Line 2

CityState / Province

Postal / Zip Code
Arborfield Green Community Centre Classes. Please Select the one you are interested. If wanting to sign up multiple children please Fill out form again with other child's details*

MONDAY 4-4.30PM Ballet Age 3-5 yearsMONDAY 4.30-5.15PM Ballet & Tap Age 5-6 YearsMONDAY 5.15-6PM Ballet & Tap Age 8 Years +MONDAY Private CoachingSATURDAY 12.30-1.30PM ABC Workshop 8-18 YearsBoth Monday and Saturday classes (8 years plus)
ABC Workshop

The ABC workshop is for those age 8-18 years. It includes, Acrobatics (gymnastics) style dance, Ballet and Contemporary. This class is designed to bring the children of our community together to explore, learn and work together.
Tell us which activities your child will be interested in participating

Classes OnlyDance ExamsSchool Dance ShowsFestival and CompetitionsCommunity Events
I understand that extra classes will be required and I will be invoiced the cost to participate in these events.*

I have read the above statement and Understood
Term Dates

Term Commence week commencing 6th January - Half Term 17th February - End of Term 29th March
Price List

- 30 Min Class £6 - 45 Min Class £8 - 60 Min Class £10 -
Please Pick*

3 Week Trial (you will be invoiced for 3 weeks only and can decide at a later date if you wish to commit to the full term)Free Class TrialFull School Term
Please select Permissions for photographs of your child to be used for promotional purposes of the school.*

I consent to photos being taken of my child for the School's purposes onlyI do not consent photos to be taken of my child
Should be Empty:

New Customer Registration Form

Term Dates

Price List