FREE TRIAL Registration Form

FREE TRIAL Registration Form
Child Name

First NameLast Name
Child Birth Date*

MonthDayYear
Current level ( beginner, intermediate, advanced*

Class timetable : please select date & day that you would like to trial

	4.00-PM ( BLUE STAGE , 3-5YO)	4.00.PM ( RED BALL STAGE, 5-7YO)	4.30PM ( ORANGE STAGE 8-10YO)	5.15PM ( GREEN BALL, 9-12YO)	YELLOW STAGE 6.00PM ( 13 +)
MONDAY
THURSDAY

Parent Contact Name

First NameLast Name
Parent Contact Phone*
Parent Contact E-mail*
example@example.com
Comments / Questions:
Should be Empty: