Dance Registration Form

Class registration

Book your place on your chosen classes
Child's Name*

First NameLast Name
Child's DOB

DayMonthYear
Child’s age*
Parent/Guardian

First NameLast Name
E-mail*
Phone Number*

Mobile 1Mobile 2
Address

Street Address

Street Address Line 2

City

Postcode
Select your age group*

2-3yrs4-5yrs5-7yrs7-9yrs10yrs and over (No need to select any classes below. We will contact you with suitable classes for your age group)
2-3yrs - Select your days. You can pick more than one

Mondays at Wymering Church, CoshamTuesdays at Portchester Community CentreSaturdays at Wymering Church, Cosham
4-5yrs Select your days. You can pick more than one

Mondays at Wymering Church, CoshamTuesdays at Portchester Community CentreSaturdays at Wymering Church, Cosham
5-7yrs - Select your days. You can pick more than one

Mondays at Wymering - Tap & ModernMondays at Wymering - Ballet & StretchingWednesdays at Wymering- Acro & Musical TheatreSaturdays at Wymering - Tap & ModernSaturdays at Wymering- Ballet & Stretching
7-9yrs - select your days. You can pick more than one

Mondays at Wymering Church, CoshamWednesdays at Wymering Church, CoshamThursdays at Wymering Church, CoshamSaturdays at Wymering Church, Cosham
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Class registration