Trial Booking Form

Trial Booking Form

We can't wait to welcome you to our Academy!
Students Name*

First NameLast Name
Students Date of Birth*

DayMonthYear
Date
Current School & Year Group*

Name of SchoolYear Group
Parent/Guardian Name*

First NameLast Name
Contact Email*
example@example.com
Contact Number*
Please enter a valid phone number.Format: (00000) (000000).
Address*

Street Address

Street Address Line 2

Town/CityCounty

Post Code
Emergency Contact*

First NameLast Name
Contact Number*
Please enter a valid phone number.Format: (00000) (000000).
Relationship To Child
Pre-School Ballet & Tap - (2.5yrs - 4yrs) FridayPre-School Ballet & Tap - (2.5yrs - 4yrs) SaturdayCombined Class (Reception - Year 3) - FridayCombined Class (Reception - Year 3) - SaturdayGraded ISTD Ballet Class (Year 4 upwards)Graded ISTD Modern Class (Year 4 upwards)Graded ISTD Tap Class (Year 4 upwards)Junior Musical Theatre - (Reception - Year 6)FridayJunior Musical Theatre - (Reception - Year 6) SaturdaySenior Musical Theatre - (Year 7+) MondayJunior Street Dance - 5-8yrsIntermediate & Senior Street Dance - 9-18yrsLAMDA Drama 8-11yrsLAMDA Drama - 12-18yrsBoys Technique Dance Class - 8yrs+MSFitness - Adult Dance Class - Over 18yrs
Medical Conditions including Allergies & Medication *
Please advise us of any medical conditions that we need to be aware of including any allergies or medication required.
Additional Needs
Please include anything we should be aware of to support your child
No previous experienceBeginnerIntermediateHighly TrainedEx-Professional
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