Enquiry Form Student Name * First Name Last Name Student Gender * Female Male Prefer not to say Student date of brith (Day/Month/Year) * Example 05/12/2005 Student Age * Emergency Contact Name * Emergency Contact Number * Students Medical Conditions/Allergies * Parent/Guardian's Name * First Name Last Name Parent/Guardian Number * Email * Parent/Guardian's Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Previous experience If you have any experience in dance let us know. Such as; - Current level/grade - Number of years experience - Any exams taken, including exam board Classes interested in * Please let us know which classes you would like to join or if you are interested in 1 - 1 sessions Thank you for your enquiry. We will be in touch within 5 days to confirm your trial class and answer any questions you may have.
