APC STUDIOS ENROLMENT FORM
Please complete the form below to book your FREE TRIAL CLASS.
Dancers Name
First Name
Last Name
Dancers DOB:
-
Day
-
Month
Year
Email
All corresponding information will be sent to this address.
Contact Number
-
+44
Mobile
Preferred Trial Date
Parent or Emergency Contact Name
First Name
Last Name
Emergency Contact Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What class/classes would you like to trial?
Are there are medical conditions, disabilities or diagnosed mental health conditions we should be aware of?
Do you agree to our Privacy Policy
Yes
No
Do you agree to our Covid Policy?
Yes
No
Do you agree to the use of photographs and videos to be taken and used for advertising?
Yes
No
How did you hear about us?
Please Select
Facebook
Instagram
Google Search
Website
Leaflets
Referral from a current student
Other
Any additional comments or questions you would like to add?
Submit
Should be Empty: