Holiday Course-October-Surbiton 2025 Registration Form

Holiday Course - OCTOBER 25

Registration
I would like to register my child for the Dance Shack Surbiton Holiday Course, 27-29 October 2025, at Shrewsbury House School, 107 Ditton Rd, Surbiton KT6 6RL

The course is designed for ages 6-16.

Open to all - there is no need to be a member of Dance Shack.

A 20% discount will be included automatically for 2nd or 3rd children (sibling discount)

Please note, single day-bookings are not available on our 3-day courses.

* indicates required information
Your Name*

First NameLast Name
Phone Number*
E-mail*
My child is already a student at Dance Shack
Address*

Street Address

Address Line 2

CityCounty

Postcode
Child's Name*

First NameLast Name
Child's DOB*

DayMonthYear
Age
2nd Child's Name

First NameLast Name
2nd Child's DOB

DayMonthYear
Age
3rd Child's Name

First NameLast Name
3rd Child's DOB

DayMonthYear
Age
Please list any relevant physical or medical conditions
Please use this box for any questions:
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Select number of students*

FULL COURSE (10.00am-4.00pm) 3 DAYS£150.00

Quantity

Total £0.00

Holiday Course - OCTOBER 25