Childs Name:

Parent / Guardians Name:

Email:

Address:

Phone Number:

Date of Birth

Age

Days Child is Available:

Please tick which day/s child is available for classes.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Classes/Styles Interested in:

Ballet (casual classes)‎
RAD Ballet Grades (working towards exams)‎
Dance & Performance (3-5yr olds)‎
Extention Class‎
RAD vocational Grades (11+ years)‎
Jazz / Lyrical / Contemporary /Hip Hop
Pre-Pointe Class
Adults Class (Ballet/Contemporary)
Competitions/Private Lessons ‎
‎

How experienced is your child?

No experience
1-2 years
2-5 years
5+ years

Has your child completed any RAD Ballet exams?

Yes No

If yes, please provide the year and level completed.

Additional Comments:

I am human.