Mini Opal Trial Form
Fill out one trial form per child.
Child's Name:
*
First Name
Surname
Child's Date Of Birth:
*
-
Day
-
Month
Year
Date
Parent's Name:
*
First Name
Surname
Email Address:
*
Phone Number:
*
-
Area Code
Phone Number
Classes You Would Like To Trial:
Ready Set Ballet (Level 1) - Tuesday 3:00pm - 3:30pm
Ready Set Ballet (Level 2) - Tuesday 3:30pm - 4:15pm
Ready Set Dance (Level 1 & 2 Combined) - Wednesday 2:00pm - 2:45pm
Ready Set Ballet (Level 1 & 2 Combined) - Wednesday 2:45pm - 3:15pm
How Did You Hear About Opal Performing Arts:
*
Advertisements / Flyers
Google
Facebook
Instagram
Word Of Mouth
Other
How Would You Prefer To Be Contacted:
*
Email
Phone
SUBMIT
Should be Empty: